Organization
KEITH SUE-LING, MD., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH SUE-LING MD (OWNER)
(706) 733-7537
Entity
Organization
Contact information
Practice address
1349 DRUID PARK AVE, AUGUSTA, GA 30904-5723
(706) 733-7537
(706) 733-2774
Mailing address
1349 DRUID PARK AVE, AUGUSTA, GA 30904-5723
(706) 733-7537
(706) 733-2774
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21825
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000203794B
—
GA
Enumeration date
06/04/2015
Last updated
06/24/2015
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