Individual
MRS. SUSAN KEYTON OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
290 DONOVAN HARRISON RD, WRIGHTSVILLE, GA 31096-5045
(478) 864-4205
Mailing address
6003 US HIGHWAY 319 N, WRIGHTSVILLE, GA 31096-5435
(478) 864-4205
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F01180182
GA
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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