Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN ELIZABETH NORTHRUP, M.D., M.P.H
ActiveDR. SUSAN ELIZABETH NORTHRUP, M.D., M.P.H is a 2083A0100X healthcare provider located in COLLEGE PARK, Georgia. NPI 1104288240 is currently active in the NPPES registry. Verify at CMS.
2083A0100X · COLLEGE PARK, GA
Registration Details
- NPI Number
- 1104288240
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2016 (10.414442096782 yrs)
- Last Updated
- Mar 28, 2016
- Licenses
-
54426 (GA)54426 (GA)
Practice Information
- Address
-
1701 COLUMBIA AVENUEFEDERAL AVIATION ADMINISTRATION, ASO-300COLLEGE PARK, GA, 30337Browse GA providers · Browse ZIP 30337
- Phone
- 4043056150
- Fax
- 4043056161
- Primary Specialty
-
2083A0100X
2083A0100X
- Additional Specialty
- Occupational Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.