Individual provider · Type 1 NPI

Susan Heusel Ortiz, PHYSICIAN ASSISTANT

Medical Physician Assistant · Atlanta, GA

NPI number 1306910682 Active

Practice location

1821 Clifton Rd NE
Atlanta, GA 30329-4021

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X002300 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1306910682

Susan Heusel Ortiz, PHYSICIAN ASSISTANT's National Provider Identifier is 1306910682, issued on Nov 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.