Individual
SUSANNA NEHIKHUERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1065 JODECO RD, STOCKBRIDGE, GA 30281-4953
(678) 492-1478
Mailing address
1065 JODECO RD, STOCKBRIDGE, GA 30281-4953
(678) 492-1478
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP170920
GA
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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