Individual
SUZANNE C EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLT, CNMT
Contact information
Practice address
327 DAHLONEGA ST STE A902, CUMMING, GA 30040-2492
(404) 218-7004
(770) 844-5929
Mailing address
1620 GREYSTONE PL, CUMMING, GA 30040-5133
(770) 844-9873
(770) 844-5929
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
MT004367
GA
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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