Provider Demographics
NPI:1649348178
Name:SUER, SUSAN GARMAN (BS IN PA)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:GARMAN
Last Name:SUER
Suffix:
Gender:F
Credentials:BS IN PA
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Mailing Address - Street 1:455 CAMBRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-8943
Mailing Address - Country:US
Mailing Address - Phone:706-855-8873
Mailing Address - Fax:
Practice Address - Street 1:EISENHOWER ARMY MEDICAL CENTER
Practice Address - Street 2:EAST HOSPITAL ROAD
Practice Address - City:FORT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905
Practice Address - Country:US
Practice Address - Phone:706-787-2936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA1022970363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant