Individual
IRINA SUPRUNIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA - C
Contact information
Practice address
35 COLLIER ROAD, SUITE 150, ATLANTA, GA 30309
(404) 355-1966
(404) 603-2801
Mailing address
35 COLLIER ROAD, SUITE 150, ATLANTA, GA 30309
(404) 355-1966
(404) 603-2801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003613
GA
363A00000X
Physician Assistant
Primary
—
GA
Other
Enumeration date
08/17/2006
Last updated
05/14/2015
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