person
Dr. Susamma Mathew, MD
Specialist in Lawrenceville, Georgia
NPI 1942209259

Susamma Mathew is a Specialist based in Lawrenceville, GA. Susamma Mathew practices in Lawrenceville, GA and has the professional credentials of MD. The NPI Number for Susamma Mathew is 1942209259 and holds a License No. 045881 (Georgia).

The current practice location address for Susamma Mathew is 3525 Sugarloaf Pkwy, Lawrenceville, GA and can be reached out via phone at 678-377-1113 and via fax at 678-377-9390. You can also correspond with Susamma Mathew through the mailing address at 3525 SUGARLOAF PKWY, LAWRENCEVILLE, GA - 30044-5403 (mailing address contact number: 678-377-1113).

Location: 3525 Sugarloaf Pkwy, Lawrenceville, GA, 30044-5403
person
Provider Profile Details
NPI Number
1942209259
Provider Name
Susamma Mathew
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3525 Sugarloaf Pkwy, Lawrenceville, GA, 30044-5403
Phone Number
678-377-1113
Fax Number
678-377-9390
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00797057B 05 GA
institution
Provider Business Practice Location Address Details
Address
3525 Sugarloaf Pkwy
City
State
Zip
30044-5403
Phone Number
678-377-1113
Fax Number
678-377-9390
person
Provider Business Mailing Address Details
Address
3525 Sugarloaf Pkwy
City
State
Zip
30044-5403
Phone Number
678-377-1113
Fax Number
678-377-9390
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
045881 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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