Provider Demographics
NPI:1023045663
Name:FERREE, SUZANNE JEANNETTE (MD)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:JEANNETTE
Last Name:FERREE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:JEANNETTE
Other - Last Name:FERREE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11660 ALPHARETTA HWY STE 290
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-4963
Mailing Address - Country:US
Mailing Address - Phone:404-446-3600
Mailing Address - Fax:404-446-3609
Practice Address - Street 1:11660 ALPHARETTA HWY STE 290
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076
Practice Address - Country:US
Practice Address - Phone:404-446-3600
Practice Address - Fax:404-446-3609
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA047772207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH20360Medicare UPIN
H20360Medicare UPIN
GA08BCBFDMedicare ID - Type Unspecified