Individual
DR. SUSAN STEPHEN GLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1121 JOHNSON FERRY RD, SUITE 150, MARIETTA, GA 30068-5425
(770) 977-1510
(770) 509-8858
Mailing address
5780 PEACHTREE DUNWOODY ROAD, SUITE 300, ATLANTA, GA 30342-1513
(404) 303-1224
(404) 303-1325
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
042579
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000656565K
—
GA
05
—
000656565L
—
GA
05
—
000656565M
—
GA
Enumeration date
09/23/2005
Last updated
06/01/2016
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