Individual
DR. SUZIE JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
744 FIRST STREET, MSC#83, MACON, GA 31201
(478) 633-1851
Mailing address
744 FIRST STREET, MSC#83, MACON, GA 31201
(478) 633-1851
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13502
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
09/01/2021
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