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1346242229
SUSAN GAIL STAVISS
MARIETTA, GA
NPI
1346242229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: GA 038652)
Enumeration Date
2005-08-11
Last Update Date
2019-10-02
Business Address
SUSAN GAIL STAVISS M.D.
3939 ROSWELL RD SUITE 300
MARIETTA, GA 30062-6251
Phone number: 770-578-2868
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Mailing Address
SUSAN GAIL STAVISS M.D.
3939 ROSWELL RD SUITE 300
MARIETTA, GA 30062-6251
Phone number: 770-578-2868
Copy
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