Individual
ERIN BARDONNER SUSTACHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
210 OAKSIDE LN, CANTON, GA 30114-6417
(678) 807-1050
(770) 720-7384
Mailing address
PO BOX 307, CUMMING, GA 30028-0307
(770) 887-1668
(770) 781-9937
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
GAA-NP001149
GA
Other
Enumeration date
01/19/2023
Last updated
05/02/2024
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