Individual
MRS. SUSAN ELIZABETH MACKEY-BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
406 M NORTHSIDE DRIVE, VALDOSTA, GA 31602-1853
(229) 241-0059
(229) 241-2088
Mailing address
406 M NORTHSIDE DRIVE, VALDOSTA, GA 31602-1853
(229) 241-0059
(229) 241-2088
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN151220
GA
Other
Enumeration date
02/09/2012
Last updated
03/19/2015
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