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1750354999
SUSAN SHANNON STORY
AUGUSTA, GA
NPI
1750354999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: GA RN108656)
Enumeration Date
2006-02-08
Last Update Date
2007-07-08
Business Address
-- SUSAN SHANNON STORY
3421 MIKE PADGETT HWY
AUGUSTA, GA 30906-3815
Phone number: 706-432-4858
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Mailing Address
-- SUSAN SHANNON STORY
120 THORTON DR
GROVETOWN, GA 30813-2210
Phone number: 706-595-2739
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