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Individual

SUSAN BIRONGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2067 POWERS FERRY RD SE APT D, MARIETTA, GA 30067-9625
(770) 500-7748
Mailing address
2067 POWERS FERRY RD SE APT D, MARIETTA, GA 30067-9625
(770) 500-7748

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
314884
GA

Other

Enumeration date
09/10/2024
Last updated
09/10/2024
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