SUSAN BLAIR GAUSE

PEACHTREE CITY, GA
NPI1164030953
Former NameSUSAN BLAIR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  261236)
Enumeration Date2020-07-17
Last Update Date2020-12-09
Business Address
SUSAN BLAIR GAUSE MSN, APRN, PMHNP-BC
207 VAN NESS
PEACHTREE CITY, GA 30269-2134
Phone number: 305-896-6146
Mailing Address
SUSAN BLAIR GAUSE MSN, APRN, PMHNP-BC
445 WINN WAY
DECATUR, GA 30030-1707
Phone number: 404-508-7796
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