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1063781326
SUSAN IRVING
COVINGTON, GA
NPI
1063781326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: GA 2013)
Enumeration Date
2011-12-15
Last Update Date
2011-12-15
Business Address
-- SUSAN IRVING
15 WHISPERING PINE DR
COVINGTON, GA 30016-4294
Phone number: 770-985-4257
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Mailing Address
-- SUSAN IRVING
15 WHISPERING PINE DR
COVINGTON, GA 30016-4294
Phone number: 770-985-4257
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