Individual
SUSAN G COE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 PHILIP BLVD STE A, LAWRENCEVILLE, GA 30046
(770) 822-5560
(770) 822-4989
Mailing address
1355 PEACHTREE ST NE STE 1600, ATLANTA, GA 30309-3276
(678) 223-7774
(678) 223-7799
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
067404
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003122499B
—
GA
Enumeration date
05/20/2008
Last updated
09/05/2018
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