Individual
DR. STEPHEN JOHN SUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1478 DOGWOOD DRIVE, SE, SUITES B & C, KAISER PERMANENTE CONYERS MEDICAL CENTER, CONYERS, GA 30013
(678) 413-4320
(706) 865-6268
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
(706) 865-6268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
054679
GA
207Q00000X
Family Medicine Physician
MD-033938-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015953
BCBS
GA
01
—
10063293
AMERIGROUP
GA
05
—
195109401A
—
GA
05
—
197753376
—
GA
01
—
336284
WELLCARE
GA
01
—
CN0368
RR MEDICARE GROUP
GA
01
—
HOSP60
MEDICARE GROUP
GA
01
—
P00146364
RR MEDICARE
GA
Enumeration date
01/04/2006
Last updated
04/13/2022
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