Individual
MS. SUSAN JANE THOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
4372 WINDWARD LN, NORCROSS, GA 30093-3334
(678) 852-7345
Mailing address
4372 WINDWARD LN, NORCROSS, GA 30093-3334
(678) 852-7345
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN078351NP
GA
Other
Enumeration date
05/09/2007
Last updated
10/14/2013
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