Individual
MS. SUSAN MARIE KONISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
242 KING AVENUE SUITE 150, ATHENS, GA 30606
(706) 475-1870
Mailing address
242 KING AVENUE SUITE 150, ATHENS, GA 30606
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN336659
GA
363LF0000X
Family Nurse Practitioner
26NJ01210800
NJ
363LF0000X
Family Nurse Practitioner
345193
NY
Other
Enumeration date
02/13/2020
Last updated
10/01/2025
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