Individual
MRS. SUZANNE RACHEL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
750 TOWN PARK LANE, KAISER PERMANENTE TOWN PARK MEDICAL CENTER, KENNESAW, GA 30144
(404) 352-1053
(404) 350-0840
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6156
GA
Other
Enumeration date
06/15/2011
Last updated
04/03/2014
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