Individual
MISS SUSAN RACHEL HUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-7208
(404) 256-2593
(770) 488-9408
Mailing address
2835 BRANDYWINE RD STE 400, ATLANTA, GA 30341-5540
(404) 256-2593
(770) 488-9408
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35094839
OH
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
Q5671
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003216382A
—
GA
Enumeration date
06/23/2008
Last updated
01/22/2021
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