Fitzgerald-Soapes, S Jan

Fitzgerald-Soapes, S Jan is an individual health care provider with primary practice located at 3685 Lawrenceville Hwy Suite 100, Lawrenceville GA 30044-4107. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fitzgerald-Soapes, S Jan can be contacted via phone (770) 921-7386.

Contact Information

Primary practice address
3685 Lawrenceville Hwy Suite 100 Lawrenceville GA 30044-4107
Phone: (770) 921-7386
Fax: (770) 381-6013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 16509 Georgia

Profile Details

NPI number 1730295478
LBN Legal business name Fitzgerald-Soapes, S Jan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730295478 NPPES
Georgia MEDICAID 00416457B
Georgia MEDICAID 00416457C

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