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1316922206
SUSAN RACHEL ETHRIDGE
ASHBURN, GA
NPI
1316922206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN076629)
Enumeration Date
2005-12-13
Last Update Date
2021-06-02
Business Address
SUSAN RACHEL ETHRIDGE FNP
235 E WASHINGTON AVE
ASHBURN, GA 31714-5224
Phone number: 229-778-9216
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Mailing Address
SUSAN RACHEL ETHRIDGE FNP
235 E WASHINGTON AVE
ASHBURN, GA 31714-5224
Phone number: 229-638-6448
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