Individual
SUSANNA GRACE JULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10 MCCLENNAN BANKS DRIVE, CHARLESTON, SC 29425-1711
(843) 792-1414
Mailing address
4212 WARREN RD, BIRMINGHAM, AL 35213-2727
(404) 444-0360
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
131214
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
28896
SC
Other
Enumeration date
06/01/2020
Last updated
07/29/2024
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