Susan L Mack
Homeopath
6484 Ford Rd
Flowery Branch
, Georgia 30542-2636
(770) 967-6835
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About
Features
Specialties
- Homeopath
Languages spoken
- English
Location
First Address
- Susan L Mack
- Po Box 1030
- Oakwood, GA
- Zip : 30566-0018
- Fax : (770) 967-6835
- Phone : (678) 777-6484
Second Address
- Susan L Mack
- 6484 Ford Rd
- Flowery Branch, GA
- Zip : 30542-2636
- Fax : (770) 967-6835
- Phone : (678) 777-6484
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 175L00000X | Homeopath | 13694 | GA |
National Provider Identifier
| NPI | 1790082436 |
|---|---|
| Provider Name | Susan L Mack |
| First Address | Oakwood, GA 30566-0018 |
| Second Address | Flowery Branch, GA 30542-2636 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/02/2011 |
| Last Update Date | 15/02/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.