Individual
SUSAN HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA OTR
Contact information
Practice address
311 COOPER RD, LOGANVILLE, GA 30052-4976
(678) 205-5437
Mailing address
311 COOPER RD, LOGANVILLE, GA 30052-4976
(678) 205-5437
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT003407
GA
Other
Enumeration date
11/13/2006
Last updated
07/09/2007
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