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Individual

MRS. SUSAN ULMER DEWOLF

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CRNFA, NP-C

Contact information

Practice address
4542 HIGH ROCK TER, MARIETTA, GA 30066-1606
(678) 488-7299
(770) 578-8405
Mailing address
4542 HIGH ROCK TER, MARIETTA, GA 30066-1606
(678) 488-7299
(770) 578-8405

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN097274
GA

Other

Enumeration date
07/17/2005
Last updated
07/08/2007
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