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NPI Code Detail

MEDICARE: KRISTEN WHEELES SUTTON PHARMD

MEDICARE:   KRISTEN WHEELES SUTTON  PHARMD
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
1183500000XPharmacistPHA.0020413CO
2183500000XPharmacistRPH029079GA

General Provider Information

NPI Number : 1952710691
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN WHEELES SUTTON PHARMD
Provider Business Mailing Address
First Line : 3605 SANDY PLAINS RD STE 200
Second Line :
City : MARIETTA
State : GA
Zip : 30066-3066
Country : US
Telephone Number : 770-578-6800
Fax Number :
Provider Business Practice Location Address
First Line : 3605 SANDY PLAINS RD STE 200
Second Line :
City : MARIETTA
State : GA
Zip : 30066-3066
Country : US
Telephone Number : 770-578-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2014
Last Update Date : 02/15/2023

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Directions to “ KRISTEN WHEELES SUTTON PHARMD” Practice Location

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