Individual
MRS. DONNA SUE VANSCHUYVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
13570 N MAIN ST, TRENTON, GA 30752-2012
(706) 657-7575
(706) 657-4430
Mailing address
13570 N MAIN ST, TRENTON, GA 30752-2012
(706) 657-7575
(706) 657-4430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042754
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000211956A
—
GA
05
—
000211956C
—
GA
05
—
1510365
—
TN
Enumeration date
06/23/2006
Last updated
12/30/2009
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