Individual
SUSAN MULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-5256
Mailing address
PO BOX 1457, BLUEFIELD, WV 24701-1457
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DN011324
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000675298G
—
GA
Enumeration date
09/20/2006
Last updated
09/18/2015
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