Individual provider · Type 1 NPI

Roger Su, MD

Student in an Organized Health Care Education/Training Program · Marietta, GA

NPI number 1003540451 Active

Practice location

833 Campbell Hill St. NW, Suite 250
Marietta, GA 30060-1162

Call (470) 956-2020 Map

Fax (770) 999-2785

Mailing address

677 Church St., Green Tower, Lower Level
Marietta, GA 30060-1101

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003540451

Roger Su, MD's National Provider Identifier is 1003540451, issued on Jul 12, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Marietta, GA. The record was last updated on Mar 21, 2024.