Anic, Suzana
Anic, Suzana is an individual health care provider with primary practice located at 1265 Highway 54 W Ste 103 , Fayetteville GA 30214-4537. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Anic, Suzana can be contacted via phone (678) 216-0771.Contact Information
Primary practice address
1265 Highway 54 W Ste 103
Fayetteville GA 30214-4537
Phone: (678) 216-0771
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 46030 | Georgia |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 046030 | Georgia |
Profile Details
| NPI number | 1215981840 |
|---|---|
| LBN Legal business name | Anic, Suzana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Dec 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215981840 | NPPES |
| Georgia | MEDICAID | 000974179A |
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