Individual
DR. SUSAN ELIZABETH NORTHRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H
Contact information
Practice address
1701 COLUMBIA AVENUE, FEDERAL AVIATION ADMINISTRATION, ASO-300, COLLEGE PARK, GA 30337
(404) 305-6150
(404) 305-6161
Mailing address
1701 COLUMBIA AVE, FEDERAL AVIATION ADMINISTRATION, ASO-300, COLLEGE PARK, GA 30337-2714
(404) 305-6150
(404) 305-6161
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
54426
GA
2083X0100X
Occupational Medicine Physician
54426
GA
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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