Individual
DR. SUSAN M HARDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
905 N COURT ST, QUITMAN, GA 31643-1362
(229) 263-8956
(229) 263-4671
Mailing address
PO BOX 148, QUITMAN, GA 31643-0148
(229) 263-8956
(229) 263-4671
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31013
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000376087A
—
GA
01
—
31013
STATE OF GA
GA
01
—
498108
BCBS
—
Enumeration date
09/19/2005
Last updated
11/05/2007
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