Individual
SUSAN S DUCKWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
550 PEACHTREE STREET, SUITE 1200, ATLANTA, GA 30308
(404) 221-1899
Mailing address
95 COLLIER RD NW, SUITE 4045, ATLANTA, GA 30309-1796
(404) 351-2270
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004565
GA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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