CHRISTINE SUTANTO

AUGUSTA, GA
NPI1932940541
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  16476)
Enumeration Date2024-06-06
Last Update Date2024-06-06
Business Address
CHRISTINE SUTANTO
1459 LANEY WALKER BLVD
AUGUSTA, GA 30912-0002
Phone number: 706-721-7005
Mailing Address
CHRISTINE SUTANTO
636 11TH ST APT 2109
AUGUSTA, GA 30901-2186
Phone number: 213-369-0199
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