Individual
MRS. SUSAN STRAWN ECHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6255 MONTLAKE AVE, MCDONOUGH, GA 30253-8532
(770) 305-7156
(770) 957-7296
Mailing address
6255 MONTLAKE AVE, MCDONOUGH, GA 30253
(770) 305-7156
(770) 957-7296
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
123
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000972628A
—
GA
Enumeration date
10/06/2006
Last updated
07/08/2007
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