Individual
SUSANNA HAMMONTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP-BC, ANP-BC
Contact information
Practice address
1990 LAKESIDE PKWY, SUITE 170, TUCKER, GA 30084-5884
(770) 938-1757
Mailing address
1990 LAKESIDE PKWY, SUITE 170, TUCKER, GA 30084-5884
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN142781
GA
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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