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Susan Prouse
Family Nurse Practitioner in Bainbridge, Georgia
NPI 1689244063

Susan Prouse is a Family Nurse Practitioner based in Birmingham, GA and is specialized in Family. Susan Prouse practices in Bainbridge, GA. The NPI Number for Susan Prouse is 1689244063 and holds a License No. RN170978 (Georgia).

The current practice location address for Susan Prouse is 1408 Tallahassee Hwy Ste Z, Bainbridge, GA and can be reached out via phone at 229-400-9033.

Location: 1408 Tallahassee Hwy Ste Z, Bainbridge, GA, 35203-1866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689244063
Provider Name
Susan Prouse
Credential
Provider Entity Type
Individual
Gender
Female
Address
1408 Tallahassee Hwy Ste Z, Bainbridge, GA, 35203-1866
Phone Number
229-400-9033
Fax Number
Provider Enumeration Date
06/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1408 Tallahassee Hwy Ste Z
City
Bainbridge
State
Georgia
Zip
39819-7900
Phone Number
229-400-9033
Fax Number
person
Provider Business Mailing Address Details
Address
1408 Tallahassee Hwy Ste Z
City
Bainbridge
State
Georgia
Zip
39819-7900
Phone Number
229-400-9033
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN170978 (Georgia)
Definition
Definition to come...
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