Individual
SUZAN ABDUSHUKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
299 COOPER RD STE B, LOGANVILLE, GA 30052-2579
(706) 250-1769
Mailing address
3853 MOOS CREEK WALK, LOGANVILLE, GA 30052-8420
(404) 789-6720
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012194
GA
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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