Individual
SUSAN M GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4321 UNIVERSITY PKWY, SUITE 104, EVANS, GA 30809-3058
(706) 854-2600
(706) 854-2601
Mailing address
4321 UNIVERSITY PKWY, SUITE 104, EVANS, GA 30809-3058
(706) 854-2600
(706) 854-2601
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
057465
GA
208M00000X
Hospitalist Physician
057465
GA
Other
Enumeration date
07/06/2006
Last updated
08/26/2013
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