Harrell, Susan

Harrell, Susan is an individual health care provider with primary practice located at 1100 Lake Hearn Dr Ne Suite 100, Atlanta GA 30342-1523. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Harrell, Susan can be contacted via phone (404) 256-3178.

Contact Information

Primary practice address
1100 Lake Hearn Dr Ne Suite 100 Atlanta GA 30342-1523
Phone: (404) 256-3178
Fax: (404) 256-3583
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 033100 Georgia

Profile Details

NPI number 1831154103
LBN Legal business name Harrell, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 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 1831154103 NPPES
Other 4289398 AETNA CAPITATED
Other 40468 AETNA CAPITATED
Other 55091 AETNA CAPITATED
Other 257740 AETNA CAPITATED
Other 691302 AETNA CAPITATED

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