Individual
H DAVID SANUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 DALLAS HWY, PMB 160 STE 202, MARIETTA, GA 30064-7505
(770) 920-6413
(678) 974-3113
Mailing address
2500 DALLAS HWY, PMB 160 STE 202, MARIETTA, GA 30064-7505
(770) 920-6413
(678) 974-3113
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036450
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
036450
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000573185D
—
GA
05
—
000573185F
—
GA
05
—
491431789A
—
GA
Enumeration date
11/16/2005
Last updated
07/17/2013
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