Provider Demographics
NPI:1659643435
Name:REAMS, SUZANNE P (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:P
Last Name:REAMS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 SWEETWATER DR
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31757-0003
Mailing Address - Country:US
Mailing Address - Phone:229-227-9754
Mailing Address - Fax:
Practice Address - Street 1:266 E BROAD ST
Practice Address - Street 2:
Practice Address - City:CAMILLA
Practice Address - State:GA
Practice Address - Zip Code:31730-1926
Practice Address - Country:US
Practice Address - Phone:229-336-2976
Practice Address - Fax:229-336-8509
Is Sole Proprietor?:No
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH020563183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist