Individual
SUZANA KELY ROCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
114 12TH ST W STE A, TIFTON, GA 31794-6976
(229) 444-3874
Mailing address
114 12TH ST W STE A, TIFTON, GA 31794-6976
(229) 444-3874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
167562
FL
207Q00000X
Family Medicine Physician
Primary
99075
GA
Other
Enumeration date
06/04/2021
Last updated
05/29/2024
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