Doctor Name: | DR. SUSAN LEDBETTER |
NPI Number: | 1497802557 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNHP, MT, NMT, |
License Number: | MT248 |
Business Practice Address: | 8141 County Road 22 Waverly, AL - 368793313 |
Business Phone Number: | 3348218063 |
Business Fax Number: | |
Mailing Address: | 8141 Chambers Rd. 22, WAVERLY |
State: | AL |
Postal Code: | 36879 |
Phone Number: | 3348218063 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MT248 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |