Individual
SUSAN IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 WHISPERING PINE DR, COVINGTON, GA 30016-4294
(770) 985-4257
(770) 985-4258
Mailing address
15 WHISPERING PINE DR, COVINGTON, GA 30016-4294
(770) 985-4257
(770) 985-4258
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2013
GA
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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