DR. Susan Kaye Blank, MD is an addiction psychiatry psychiatry neurology in Lawrenceville, GA. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. DR. Susan Kaye Blank, MD NPI is 1639112584. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1846 OLD NORCROSS RD
SUITE 100
LAWRENCEVILLE, GA
ZIP 30044-801
Phone: (770) 696-9862
Fax: (770) 710-0243
The NPI 1639112584 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 11D2047153 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/14/2006 and was last updated on 9/10/2012.