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NPI Code Detail

MEDICARE: DR. NUREDIN A SULE

MEDICARE: DR. NUREDIN A SULE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH022351GA

General Provider Information

NPI Number : 1760765242
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NUREDIN A SULE
Provider Business Mailing Address
First Line : 1490 PLEASANT HILL RD
Second Line :
City : DULUTH
State : GA
Zip : 30096-4674
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1490 PLEASANT HILL RD
Second Line :
City : DULUTH
State : GA
Zip : 30096-4674
Country : US
Telephone Number : 770-921-9976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2011
Last Update Date : 09/21/2011

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Directions to “ DR. NUREDIN A SULE ” Practice Location

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