| Dr Kenneth M Sussman, MD | |
|
768 Glen Valley Way, Dacula, GA 30019-4878 | |
| (770) 513-3990 | |
| Not Available |
| Full Name | Dr Kenneth M Sussman |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 768 Glen Valley Way, Dacula, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194888065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 050757 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth M Sussman, MD 768 Glen Valley Way, Dacula, GA 30019-4878 Ph: (770) 513-3990 | Dr Kenneth M Sussman, MD 768 Glen Valley Way, Dacula, GA 30019-4878 Ph: (770) 513-3990 |
Dr. James R Moulton Ii, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2069 Teron Trce, Suite 100, Dacula, GA 30019 Phone: 770-995-9100 Fax: 770-822-9444 | |
Dr. Enoch Marrell Lowe, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3613 Braselton Hwy, Suite 104, Dacula, GA 30019 Phone: 678-546-3027 Fax: 678-546-3356 |