Individual
MS. SUSAN BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1680 HOSPITAL SOUTH DR, AUSTELL, GA 30106-8110
(678) 945-2100
(770) 941-3870
Mailing address
1680 HOSPITAL SOUTH DR, AUSTELL, GA 30106-8110
(678) 945-2100
(770) 941-3870
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN106498
GA
Other
Enumeration date
10/18/2005
Last updated
12/08/2011
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