Individual
SUSAN IRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1475 JESSE JEWELL PKWY NE STE 300, GAINESVILLE, GA 30501-3806
(678) 430-3110
Mailing address
1475 JESSE JEWELL PKWY NE STE 300, GAINESVILLE, GA 30501-3806
(678) 430-3110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN064849
GA
Other
Enumeration date
06/20/2006
Last updated
06/29/2021
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