Individual
MRS. KATHY ANN SUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1916 N LEG RD, AUGUSTA, GA 30909-4402
(706) 667-4816
(706) 667-4555
Mailing address
1916 N LEG RD, AUGUSTA, GA 30909-4402
(706) 667-4816
(706) 667-4555
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN086652
GA
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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