Individual
NINA SHANNON SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3970 DEPUTY BILL CANTRELL MEM, CUMMING, GA 30040-3069
(678) 513-2273
Mailing address
1750 WALKING HORSE TRL, CUMMING, GA 30041-8389
(678) 283-8452
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN145366
GA
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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