Fleming, Susan L
Fleming, Susan L is an individual health care provider with primary practice located at 758 Old Norcross Rd Suite 100, Lawrenceville GA 30046-3385. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Fleming, Susan L can be contacted via phone (770) 962-4300.Contact Information
Primary practice address
758 Old Norcross Rd Suite 100
Lawrenceville GA 30046-3385
Phone: (770) 962-4300
Fax: (770) 339-7544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN097357 | Georgia |
Profile Details
| NPI number | 1144295361 |
|---|---|
| LBN Legal business name | Fleming, Susan L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Mar 4th, 2020 - about 6 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 | 1144295361 | NPPES |
| Georgia | Other | P01708644 | MEDICARE RR |
| Georgia | MEDICAID | 497662017A | MEDICARE RR |
| Georgia | MEDICAID | 497662017I | MEDICARE RR |
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