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1306939236
SUSAN HAVERSTOCK
AUGUSTA, GA
NPI
1306939236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: GA 37561)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Dr. SUSAN HAVERSTOCK MD
1 FREEDOM WAY #263
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
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Mailing Address
Dr. SUSAN HAVERSTOCK MD
1 FREEDOM WAY #263
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
Copy
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