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Contact Information

SUSAN K BLANK, MD
1846 OLD NORCROSS RD
SUITE 100
LAWRENCEVILLE, GA30044-8801
 Phone: 770-696-9862
 Fax: 770-710-0243
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Pain Medicine

2084P2900X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for SUSAN K BLANK · (Female)

NPI Number 1639112584
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2006
Last updated 09/10/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 033782
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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