Individual
SUSAN WALKER GREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 TREE LANE ROAD, SUITE 200, SNELLVILLE, GA 30078
(770) 979-0367
(770) 979-0367
Mailing address
1800 TREE LANE ROAD, SUITE 200, SNELLVILLE, GA 30078
(770) 979-0367
(770) 979-1830
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
041571
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00711015A
—
GA
01
—
CO7170
RAILROAD MEDICARE
GA
01
—
GRP2664
GROUP MEDICARE
GA
Enumeration date
10/16/2006
Last updated
07/08/2007
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