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Individual

SUSAN THI LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2410 N OAK ST, VALDOSTA, GA 31602-2533
(229) 241-7546
Mailing address
2410 N OAK ST, VALDOSTA, GA 31602-2533
(229) 241-7546

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-05576
NC
363A00000X
Physician Assistant
Primary
7529
GA
363A00000X
Physician Assistant
PA10283
TX

Other

Enumeration date
03/20/2015
Last updated
01/05/2026
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