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Individual

DR. SUSAN M HARDING

Active
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Individual

DR. SUSAN M HARDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

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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