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Individual

MRS. BARBARA LEE ANNE SUSIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.M.

Contact information

Practice address
4181 HOSPITAL DR NE STE 104, COVINGTON, GA 30014-2541
(770) 385-8954
(770) 385-8590
Mailing address
4181 HOSPITAL DR NE STE 104, COVINGTON, GA 30014-2541
(770) 385-8954
(770) 385-8590

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
ARNP9226657
FL
367A00000X
Advanced Practice Midwife
Primary
RN116490
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003104261B
GA
Enumeration date
09/09/2005
Last updated
07/09/2014
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