Individual
SUSAN SCHAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2124 CANDLER RD, DECATUR, GA 30032-5572
(404) 836-0272
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
043278
GA
207Q00000X
Family Medicine Physician
35.135432
OH
207Q00000X
Family Medicine Physician
MD464175
PA
207Q00000X
Family Medicine Physician
ME131905
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME131905
STATE LICENSE
FL
Enumeration date
09/13/2006
Last updated
10/26/2021
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