Eleazer, Susan Gale

Eleazer, Susan Gale is an individual health care provider with primary practice located at 4181 Hospital Dr Ne Ste 401 , Covington GA 30014-2541. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Eleazer, Susan Gale can be contacted via phone (678) 342-8660.

Contact Information

Primary practice address
4181 Hospital Dr Ne Ste 401 Covington GA 30014-2541
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001778 Georgia

Profile Details

NPI number 1770532723
LBN Legal business name Eleazer, Susan Gale
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Oct 7th, 2021 - about 5 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.

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