Patricia A Sullens, MEDICAL ASSIT

NPI #1154536613 in Baldwin, Georgia

Provider Information

NPI Number
1154536613
Entity Type
Individual
Name
Patricia A Sullens, MEDICAL ASSIT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nutritionist - Nutrition, Education
Credential
MEDICAL ASSIT
Enumeration Date
May 10, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
441 PROFESSIONAL COMPLEX
Address 2
SUITE 479D
State
Georgia
ZIP Code
30511
Phone
(706) 778-0033

Specialties & Taxonomy Codes

Specialty
Nutritionist - Nutrition, EducationNutrition, Education

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