Individual
SUSAN HEUSEL ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1821 CLIFTON RD NE, ATLANTA, GA 30329-4021
(404) 728-6551
Mailing address
1821 CLIFTON RD NE, ATLANTA, GA 30329-4021
(404) 728-6551
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002300
GA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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