NPI 1003540451

Roger Su, MD

Practitioner Student in an Organized Health Care Education/Training Program Marietta, GA

Practice location

Address: 833 Campbell Hill St. NW Suite 250, Marietta, GA 30060-1162
Phone: (470) 956-2020
Fax: (770) 999-2785
Mailing address: 677 Church St. Green Tower, Lower Level, Marietta, GA 30060-1101

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003540451
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2022
Record last updated: 21 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.