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1063480457
BRENT H. SUDDETH
CANTON, GA
NPI
1063480457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA RN149420)
Enumeration Date
2006-03-10
Last Update Date
2007-07-08
Business Address
-- BRENT H. SUDDETH CRNA
201 HOSPITAL RD ANESTHESIA DEPT
CANTON, GA 30114-2408
Phone number: 404-851-6500
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Mailing Address
-- BRENT H. SUDDETH CRNA
PO BOX 465686
LAWRENCEVILLE, GA 30042-5686
Phone number: 770-237-1561
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