Individual
SUSAN F MCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNS-BC
Contact information
Practice address
10 DOCTORS ST, METTER, GA 30439-3337
(912) 685-5715
Mailing address
PO BOX 407, VIDALIA, GA 30475-0407
(912) 537-4986
(912) 524-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN060662
GA
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
RN060662
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000833962A
—
GA
Enumeration date
07/06/2006
Last updated
12/12/2023
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