Healthcare Provider Details

I. General information

NPI: 1033122171
Provider Name (Legal Business Name): SUSANA LIBHABER SKUKALEK NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SUSANA LIBHABER NP-C

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE EMORY CLINIC DEPT OF NEUROSURGERY 1365B CLIFTON RD SUITE 2200
ATLANTA GA
30322-0001
US

IV. Provider business mailing address

845 DREWRY ST NE
ATLANTA GA
30306-3718
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-5770
  • Fax: 404-778-3279
Mailing address:
  • Phone: 404-931-3757
  • Fax: 404-778-3279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN144854
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: