Individual
DR. MARY SUSAN OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 CHARTER BLVD, MACON, GA 31210-4831
(478) 745-8871
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 279-1660
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
024049
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
024049
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
472876
BCBS OF GA
GA
Enumeration date
03/08/2006
Last updated
09/11/2025
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