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Individual

JOSHUA A SUGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
100 THREE RIVERS DR NE, STE A, ROME, GA 30161-4999
(706) 292-0040
(706) 378-0556
Mailing address
100 THREE RIVERS DR NE, STE A, ROME, GA 30161-4999
(706) 292-0040
(706) 378-0556

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2478
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2478
GEORGIA LICENSE
Enumeration date
04/18/2013
Last updated
04/18/2013
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