Glander, Susan Stephen
Glander, Susan Stephen is an individual health care provider with primary practice located at 1121 Johnson Ferry Rd Suite 150, Marietta GA 30068-5425. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Glander, Susan Stephen can be contacted via phone (770) 977-1510.Contact Information
Primary practice address
1121 Johnson Ferry Rd Suite 150
Marietta GA 30068-5425
Phone: (770) 977-1510
Fax: (770) 509-8858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 042579 | Georgia |
Profile Details
| NPI number | 1932195013 |
|---|---|
| LBN Legal business name | Glander, Susan Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Jun 1st, 2016 - about 10 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 | 1932195013 | NPPES |
| Georgia | MEDICAID | 000656565M | |
| Georgia | MEDICAID | 000656565K | |
| Georgia | MEDICAID | 000656565L |
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