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1942209259
SUSAMMA MATHEW
LAWRENCEVILLE, GA
NPI
1942209259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: GA 045881)
Enumeration Date
2005-07-19
Last Update Date
2011-02-23
Business Address
Dr. SUSAMMA MATHEW MD
3525 SUGARLOAF PKWY
LAWRENCEVILLE, GA 30044-5403
Phone number: 678-377-1113
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Mailing Address
Dr. SUSAMMA MATHEW MD
3525 SUGARLOAF PKWY
LAWRENCEVILLE, GA 30044-5403
Phone number: 678-377-1113
Copy
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