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MRS. SUSAN ANN CARMACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
PEACE CORPS OFFICE OF MEDICAL SERVICES, 1111 20TH STREET NW, WASHINGTON, DC 20526-0001
(202) 692-1555
(202) 692-1501
Mailing address
12806 BRIGHTWELL DR, CLARKSBURG, MD 20871-4309
(301) 540-2541

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
28067924A
IN

Other

Enumeration date
08/26/2005
Last updated
06/29/2009
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