Individual
MARQUISIA SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4923 WATERROCK RD, ELLENWOOD, GA 30294-6707
(470) 808-1236
Mailing address
4923 WATERROCK RD, ELLENWOOD, GA 30294-6707
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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