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Individual

SUZANNE M THIGPEN

Active
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Individual

SUZANNE M THIGPEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
031676
GA
2085R0202X
Diagnostic Radiology Physician
Primary
31676
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000412915D
GA
05
G31676
SC
Enumeration date
10/03/2006
Last updated
07/26/2012
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