Individual
SUZANA SIMONISHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ACNP -BC
Contact information
Practice address
55 WHITCHER ST NE, SUITE 420, MARIETTA, GA 30060-1155
(770) 422-1372
Mailing address
2768 CREEK VIEW CT NE, ROSWELL, GA 30075-5428
(770) 552-5288
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN179700
GA
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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