Individual
PATRICIA A SULLENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSIT
Contact information
Practice address
441 PROFESSIONAL COMPLEX, SUITE 479D, BALDWIN, GA 30511
(706) 778-0033
Mailing address
441 PROFESSIONAL COMPLEX, SUITE 479D, BALDWIN, GA 30511
(706) 778-0033
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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