Individual
DR. SUZANNE H GUDAKUNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
415 E CROSSVILLE RD, SUITE B, ROSWELL, GA 30075-3037
(770) 645-9595
Mailing address
415 E CROSSVILLE RD, SUITE B, ROSWELL, GA 30075-3037
(770) 645-9595
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHIRO007176
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIR007176
STATE OF GEORGIA LICENSE
GA
Enumeration date
01/25/2007
Last updated
07/08/2007
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