Individual
SUSAN C HASKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1800 PEACHTREE ST NW STE 800, ATLANTA, GA 30309-2512
(855) 729-2272
(202) 833-1725
Mailing address
4021 LINCOLN PLACE DR, DES MOINES, IA 50312-3051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.146713
IL
207Q00000X
Family Medicine Physician
Primary
73851
GA
207Q00000X
Family Medicine Physician
H0079378
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00318287B
—
GA
05
—
070557800
—
DC
05
—
345004000
—
MD
Enumeration date
01/25/2006
Last updated
09/28/2023
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