Individual
SUSAN NEIDLINGER HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1451 GA HIGHWAY 21 S H, SPRINGFIELD, GA 31329-5244
(912) 754-1035
Mailing address
PO BOX 386, SPRINGFIELD, GA 31329-0386
(912) 754-6451
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN113434NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003146075A
—
GA
05
—
003146075B
—
GA
05
—
003146075C
—
GA
05
—
003146075D
—
GA
05
—
003146075E
—
GA
05
—
003146075F
—
GA
05
—
003146075G
—
GA
Enumeration date
10/28/2009
Last updated
02/01/2018
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