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1215743448
SUSHMA K C
AUSTELL, GA
NPI
1215743448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: OK 221073)
Enumeration Date
2024-12-03
Last Update Date
2024-12-03
Business Address
SUSHMA K C
121 KERWOOD CT
AUSTELL, GA 30168-6733
Phone number: 404-940-3787
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Mailing Address
SUSHMA K C
121 KERWOOD CT
AUSTELL, GA 30168-6733
Phone number:
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