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Susan Tackett, CPED
NPI 1063505352 · on the registry since 2006 · sole proprietor
Practice
- Address
- 696 Breedlove Dr
Suite B5
Monroe, GA 30655 - Phone
- (404) 713-7011
- Fax
- (770) 207-7196
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia