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SUFFEARRIA MAKIA DANIELS-ELLISON NURSE PRACTITIONER

Adult Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1497426845

Individual Registrant:
 SUFFEARRIA MAKIA DANIELS-ELLISON NURSE PRACTITIONER
Gender: F
Not Sole Proprietor

Location and contact information for practice:
131A VICTORY DR  SWAINSBORO, GA 30401-3234 US
Tel: 478-237-8342  Fax: 478-237-8281

Contact information for business:
85 N LAKE DR  SANDERSVILLE, GA 31082-7514 US
Tel: 478-290-2319  Fax: 478-552-9997

Registration Information:
NPI: 1497426845
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
GA144562

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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