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Individual

SUSAN WAGNER FARAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(800) 243-3839
Mailing address
820 MEADOW SPRING CT, ALPHARETTA, GA 30004-6356
(770) 364-1154

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN226135
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN226135
GA

Other

Enumeration date
07/16/2019
Last updated
10/10/2025
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