Individual
DR. SUZANNE MARIE JOHANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1341 W WALNUT AVE, DALTON, GA 30720-3857
(706) 275-9900
Mailing address
2505 LOVE LN, SODDY DAISY, TN 37379-3040
(423) 664-2356
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003195
GA
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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