SUSAN PROUSE

BAINBRIDGE, GA
NPI1689244063
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN170978)
Enumeration Date2021-06-29
Last Update Date2021-06-29
Business Address
SUSAN PROUSE
1408 TALLAHASSEE HWY STE Z
BAINBRIDGE, GA 39819-7900
Phone number: 229-400-9033
Mailing Address
SUSAN PROUSE
1500 1ST AVE N UNIT 3
BIRMINGHAM, AL 35203-1866
Phone number: