Individual
DR. SUZANNE ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU. D.
Contact information
Practice address
2500 N STATE ST, DEPT OF OTO AND COMM SCIENCES, JACKSON, MS 39216-4500
(601) 984-5160
Mailing address
2500 N STATE ST, DEPT OF OTO AND COMM SCIENCES, JACKSON, MS 39216-4500
(601) 984-5160
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A0511
MS
Other
Enumeration date
03/18/2008
Last updated
02/18/2009
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