Individual
MS. SUSAN I. HEURICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
20 GLENLAKE PARKWAY, KAISER PERMANENTE GLENLAKE MEDICAL CENTER, ATLANTA, GA 30328
(404) 365-0966
(770) 645-8455
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
(770) 645-8455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN070689
GA
Other
Enumeration date
08/16/2006
Last updated
08/25/2011
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