Individual
SUSAN WHEELER WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
231 GRAEFE ST, GRIFFIN, GA 30224-4222
(770) 227-1587
(770) 227-1485
Mailing address
231 GRAEFE ST, GRIFFIN, GA 30224-4222
(770) 227-1587
(770) 227-1485
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN078025
GA
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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