Individual
CHRISTY SHANA SUDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(910) 987-8288
(706) 787-1745
Mailing address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(706) 787-1745
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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