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1184358079
EPTESAM SUFIYAN
SNELLVILLE, GA
NPI
1184358079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN287246)
Enumeration Date
2022-07-15
Last Update Date
2023-10-05
Business Address
EPTESAM SUFIYAN PMHNP-BC
1700 MEDICAL WAY
SNELLVILLE, GA 30078-2195
Phone number: 478-464-8134
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Mailing Address
EPTESAM SUFIYAN PMHNP-BC
46 DARCEE CT
LAWRENCEVILLE, GA 30046-7401
Phone number:
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