Patricia A Sullens, MEDICAL ASSIT
Nutritionist, Nutrition, Education in Baldwin, GA. Individual provider (NPI-1).
NPI number1154536613
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154536613
- Entity type
- Individual (NPI-1)
- Name
- Patricia A Sullens
- Credential
- MEDICAL ASSIT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133NN1002X | Nutritionist, Nutrition, Education | – | – | Yes |
Practice location
441 Professional ComplexSuite 479d
Baldwin, GA 30511
Phone 706-778-0033
Mailing address
441 Professional ComplexSuite 479d
Baldwin, GA 30511
Phone 706-778-0033
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