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DR. SUZANNA G DUCKETT MD
Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1356334569
Individual Registrant:DR. SUZANNA G DUCKETT MD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
274 BIG A ROAD TOCCOA, GA 30577-6002 US
Tel: 706-282-5363 Fax: 706-282-4091
Tel: 706-282-5363 Fax: 706-282-4091
Contact information for business:
274 BIG A ROAD TOCCOA, GA 30577-6002 US
Tel: 706-282-5363 Fax: 706-282-4091
Tel: 706-282-5363 Fax: 706-282-4091
Registration Information:
NPI: 1356334569
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2084P0800X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry | GA | 46837 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 000669655A | GA | 05 |
