Individual
DR. SUZANNE STOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 E VILLANOW ST, LA FAYETTE, GA 30728-2618
(706) 638-1606
(706) 638-9987
Mailing address
611 E VILLANOW ST, LA FAYETTE, GA 30728-2618
(706) 638-1606
(706) 638-9987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049845
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000903207D
—
GA
Enumeration date
12/07/2005
Last updated
03/05/2010
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