Individual
MRS. SUSAN BETH FAGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIC-A
Contact information
Practice address
2500 HOSPITAL BLVD, SUITE 450, ROSWELL, GA 30076-4907
(770) 343-8675
(770) 343-8126
Mailing address
2500 HOSPITAL BLVD, SUITE 450, ROSWELL, GA 30076-4907
(770) 343-8675
(770) 343-8126
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3457
GA
Other
Enumeration date
06/10/2006
Last updated
07/08/2010
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