Individual
DR. LISIANE FERREIRA-SUSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
501 EASTOWNE DR STE 155, CHAPEL HILL, NC 27514-6231
(919) 403-5000
Mailing address
1430 JOHN WESLEY GILBERT DR, GC-1024, AUGUSTA, GA 30912-0004
(706) 721-4225
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DNF000358
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZG0358
—
SC
Enumeration date
01/27/2011
Last updated
09/17/2024
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