Individual provider · NPI-1

Suja P Antony, NP

Nurse Practitioner, Primary Care · Columbus, GA

NPI number1255819447
StatusActive
Last updated in NPPESJul 31, 2018

Details

NPI
1255819447
Entity type
Individual (NPI-1)
Name
Suja P Antony
Credential
NP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 31, 2018
Last updated
Jul 31, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary Care186261GAYes

Practice location

4000 Saint Marys Rd
Columbus, GA 31907-7626

Phone 706-685-2770 · Fax 706-685-3299

Mailing address

4000 Saint Marys Rd
Columbus, GA 31907-7626

Phone 706-685-2770 · Fax 706-685-3299

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