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SUSAN BUTLER-SUMNER M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1205896305

Individual Registrant:
 SUSAN  BUTLER-SUMNER M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
28 ROME RD  CAVE SPRING, GA 30124-0000 US
Tel: 706-777-8775  Fax: --

Contact information for business:
28 ROME RD  CAVE SPRING, GA 30124-0000 US
Tel: 706-777-8775  Fax: --

Registration Information:
NPI: 1205896305
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
GA01201822021
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
GA29851

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00344825AGA05




HEALTH CARE JOBS GA - Page 1



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