Individual
SUSAN L MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOMEOPATH/ND
Contact information
Practice address
6484 FORD RD, FLOWERY BRANCH, GA 30542-2636
(678) 777-6484
(770) 967-6835
Mailing address
PO BOX 1030, OAKWOOD, GA 30566-0018
(678) 777-6484
(770) 967-6835
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
13694
GA
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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