Individual
SUSAN DEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3345 US HIGHWAY 84 STE 102, BLACKSHEAR, GA 31516-2160
(912) 208-3581
Mailing address
PO BOX 1318, WAYCROSS, GA 31502-1318
(912) 288-7617
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN180793
GA
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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