Individual
PROF. SUZANA ANIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1265 HIGHWAY 54 W STE 103, FAYETTEVILLE, GA 30214-4537
(678) 216-0771
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
046030
GA
207L00000X
Anesthesiology Physician
Primary
46030
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000974179A
—
GA
Enumeration date
05/19/2006
Last updated
12/21/2022
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