Individual
M. AVIGAIL SUSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
675 SOUTHCREST PKWY, SUITE 150, STOCKBRIDGE, GA 30281-7973
(678) 251-1280
(678) 251-1284
Mailing address
675 SOUTHCREST PKWY, SUITE 150, STOCKBRIDGE, GA 30281-7973
(678) 251-1280
(678) 251-1284
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009507
GA
Other
Enumeration date
05/06/2009
Last updated
04/17/2013
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