Individual
SUSAN ESCOBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030
(404) 294-3745
Mailing address
445 WINN WAY, DECATUR, GA 30030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN064282
GA
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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