Individual
SUFFEARRIA MAKIA DANIELS-ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
131A VICTORY DR, SWAINSBORO, GA 30401-3234
(478) 237-8342
(478) 237-8281
Mailing address
85 N LAKE DR, SANDERSVILLE, GA 31082-7514
(478) 290-2319
(478) 552-9997
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
144562
GA
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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