Individual
SUSAN BLAIR GAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
315 W PONCE DE LEON AVE STE 546, DECATUR, GA 30030-2448
(404) 997-8043
(949) 757-8783
Mailing address
207 VAN NESS, PEACHTREE CITY, GA 30269-2134
(706) 350-9954
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
261236
GA
Other
Enumeration date
07/17/2020
Last updated
02/20/2025
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