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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN GAIL STAVISS, M.D.

Active

SUSAN GAIL STAVISS, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in MARIETTA, Georgia. NPI 1346242229 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · MARIETTA, GA

Registration Details

NPI Number
1346242229
Provider Type
Individual
Gender
Female
NPI Issued
Aug 11, 2005 (21.037020701415 yrs)
Last Updated
Oct 2, 2019
License
038652 (GA)

Practice Information

Address
3939 ROSWELL RD
SUITE 300
MARIETTA, GA, 300626251
Browse GA providers · Browse ZIP 30062
Phone
7705782868
Fax
7709718499
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X

Other Adolescent Medicine (Pediatrics) Providers in MARIETTA, GA

Name Credential NPI
MONICA ELLEN HOLZWARTH M.D 1699768168
DR. CRAIG L LEBISH MD 1679523443
DR. JULIA T. GAINES M.D. 1497709992
DR. ROBERT A FORBES JR. MD 1245279009
NIKKI T ROBERTS MD 1861431629
DR. ERIKA SANDRA VAN PUTTEN MD 1538240353
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.