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Individual

SUZANNE NUNNALLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN, IBCLC, RLC

Contact information

Practice address
84 KINNEY CREEK LN, PENDERGRASS, GA 30567-2281
(678) 617-0640
Mailing address
84 KINNEY CREEK LN, PENDERGRASS, GA 30567-2281

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-33226
GA

Other

Enumeration date
10/04/2022
Last updated
10/04/2022
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