Individual
MRS. SIBY ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
680 GRAND RESERVE DR, SUWANEE, GA 30024-1613
(201) 638-7001
Mailing address
680 GRAND RESERVE DR, SUWANEE, GA 30024-1613
(201) 638-7001
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A0315009
GA
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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