Individual
ELS J SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 MONTCLAIR DR, HINESVILLE, GA 31313-5378
(912) 492-5046
Mailing address
1131 MONTCLAIR DR, HINESVILLE, GA 31313-5378
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN165211
GA
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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