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1548830086
MARY LOU SURBER
COLUMBUS, GA
NPI
1548830086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN190884)
Enumeration Date
2021-06-28
Last Update Date
2021-06-29
Business Address
MARY LOU SURBER FNP-C
6509 GATEWAY RD
COLUMBUS, GA 31909-5681
Phone number: 706-243-0174
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Mailing Address
MARY LOU SURBER FNP-C
648 ALLEN LAKE RD
WAVERLY HALL, GA 31831-2944
Phone number: 703-431-3743
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