Individual
SHANNON SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5730 GLENRIDGE DR STE 200, ATLANTA, GA 30328-5579
(404) 252-5206
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
APRN11000487
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
RN283116
GA
Other
Enumeration date
04/26/2019
Last updated
09/27/2019
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