Grey, Susan Walker

Grey, Susan Walker is an individual health care provider with primary practice located at 1800 Tree Lane Road Suite 200, Snellville GA 30078. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Grey, Susan Walker can be contacted via phone (770) 979-0367.

Contact Information

Primary practice address
1800 Tree Lane Road Suite 200 Snellville GA 30078
Fax: (770) 979-0367
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 041571 Georgia

Profile Details

NPI number 1467532325
LBN Legal business name Grey, Susan Walker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467532325 NPPES
Georgia Other CO7170 RAILROAD MEDICARE
Georgia MEDICAID 00711015A RAILROAD MEDICARE
Georgia Other GRP2664 RAILROAD MEDICARE

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