Individual
SUSAN LEANNE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2510 LIMESTONE PKWY, GAINESVILLE, GA 30501-2089
(770) 219-9500
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN153781
GA
Other
Enumeration date
03/07/2007
Last updated
12/08/2020
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