Forman Blitzer, Penny M
Forman Blitzer, Penny M is an individual health care provider with primary practice located at 4310 Johns Creek Pkwy Suite 150, Suwanee GA 30024-6091. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Forman Blitzer, Penny M can be contacted via phone (770) 476-4020.Contact Information
Primary practice address
4310 Johns Creek Pkwy Suite 150
Suwanee GA 30024-6091
Phone: (770) 476-4020
Fax: (770) 476-1674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0050077 | Georgia |
Profile Details
| NPI number | 1083664288 |
|---|---|
| LBN Legal business name | Forman Blitzer, Penny M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jul 8th, 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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