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Individual

MRS. SUSAN L. SHOOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
5345 CROSSROADS DRIVE, ACWORTH, GA 30102-2536
(678) 391-5950
(678) 391-5969
Mailing address
P.O. BOX 2699, WOODSTOCK, GA 30188-1384
(678) 391-5950
(678) 391-5969

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN224860
GA
163WA2000X
Administrator Registered Nurse
RN224860
GA

Other

Enumeration date
10/30/2012
Last updated
10/30/2012
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