Individual
SUNTANA LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
231 W HANCOCK ST, MILLEDGEVILLE, GA 31061-3375
(478) 455-1076
Mailing address
2966 GWINNSTONE CIR, SNELLVILLE, GA 30078-4508
(678) 294-0230
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN254844
GA
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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