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Individual

ANTHONY M. SUSSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
030388
GA
2086S0129X
Vascular Surgery Physician
17449
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000457542E
GA
05
00457542C
GA
05
G30388
SC
Enumeration date
06/26/2006
Last updated
09/13/2022
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