Provider Demographics
NPI:1831355841
Name:EMS, SUZANNE S (PY)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:S
Last Name:EMS
Suffix:
Gender:F
Credentials:PY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11800 ABERCORN ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-1908
Mailing Address - Country:US
Mailing Address - Phone:912-925-4402
Mailing Address - Fax:912-920-4756
Practice Address - Street 1:11800 ABERCORN ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-1908
Practice Address - Country:US
Practice Address - Phone:912-925-4402
Practice Address - Fax:912-920-4756
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT004713225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist