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1013087386
SUSAN CAROL WIECZOREK
COLUMBUS, GA
NPI
1013087386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN042301 NP)
Enumeration Date
2006-11-08
Last Update Date
2024-08-07
Business Address
SUSAN CAROL WIECZOREK NP-C, CWOCN
808 21ST ST
COLUMBUS, GA 31904-8817
Phone number: 706-321-3901
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Mailing Address
SUSAN CAROL WIECZOREK NP-C, CWOCN
2300 MANCHESTER EXPY STE 2001A
COLUMBUS, GA 31904-6802
Phone number: 706-320-3126
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