Individual
SUSHILA M MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
193 N PARK TRL, STE 100, STOCKBRIDGE, GA 30281-7373
(770) 389-0116
(770) 389-4058
Mailing address
193 NORTH PARK TRAIL, STE 100, STOCKBRIDGE, GA 30281
(770) 389-0116
(770) 389-4058
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
022250
GA
Other
Enumeration date
06/06/2006
Last updated
10/15/2011
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