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Susan Gail Staviss, MD
Pediatric Adolescent Medicine Physician in Marietta, Georgia
NPI 1346242229

Susan Gail Staviss is a Pediatric Adolescent Medicine Physician based in Marietta, GA and is specialized in Adolescent Medicine. Susan Gail Staviss practices in Marietta, GA and has the professional credentials of MD. The NPI Number for Susan Gail Staviss is 1346242229 and holds a License No. 038652 (Georgia).

The current practice location address for Susan Gail Staviss is 3939 Roswell Rd, Marietta, GA and can be reached out via phone at 770-578-2868 and via fax at 770-971-8499.

Location: 3939 Roswell Rd, Marietta, GA, 30062-6251
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Provider Profile Details
NPI Number
1346242229
Provider Name
Susan Gail Staviss
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3939 Roswell Rd, Marietta, GA, 30062-6251
Phone Number
770-578-2868
Fax Number
770-971-8499
Provider Enumeration Date
08/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000607703D 05 GA
241020 01 GA PRIVATE HEALTHCARE SYSTEM
4508167 01 GA AETNA USHEALTHCARE
3308662027 01 GA CIGNA
institution
Provider Business Practice Location Address Details
Address
3939 Roswell Rd
City
State
Zip
30062-6251
Phone Number
770-578-2868
Fax Number
770-971-8499
person
Provider Business Mailing Address Details
Address
3939 Roswell Rd
City
State
Zip
30062-6251
Phone Number
770-578-2868
Fax Number
770-971-8499
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
License No.
038652 (Georgia)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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