Individual
SUJITHA MANOJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912
(706) 877-2479
Mailing address
342 CONNOR CIR, EVANS, GA 30809-6100
(706) 877-2479
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN187906
GA
Other
Enumeration date
02/12/2019
Last updated
03/06/2019
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