Individual
MS. SUSAN H OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1700 HOSPITAL SOUTH DR STE 504, AUSTELL, GA 30106-8159
(770) 819-9211
(770) 819-9616
Mailing address
1700 HOSPITAL SOUTH DR STE 504, AUSTELL, GA 30106-8159
(770) 819-9211
(770) 819-9616
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN063656
GA
Other
Enumeration date
10/25/2005
Last updated
03/12/2012
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