Individual
DR. SUSAN HAVERSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 FREEDOM WAY, #263, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 731-7293
Mailing address
1 FREEDOM WAY, #263, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 731-7293
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
37561
GA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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