Individual
DR. SUSAN ELIZABETH KOLB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4370 GEORGETOWN SQ, ATLANTA, GA 30338-6205
(770) 457-4677
(770) 457-4428
Mailing address
555 AVIGNON CT, ATLANTA, GA 30350-1038
(770) 399-0412
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
031272
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000379486C
—
GA
Enumeration date
11/03/2005
Last updated
01/18/2011
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