Molock, Suzanne
Molock, Suzanne is an individual health care provider with primary practice located at 595 Hurricane Shoals Road Nw Suite 300, Lawrenceville GA 30046. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Molock, Suzanne can be contacted via phone (770) 995-0823.Contact Information
Primary practice address
595 Hurricane Shoals Road Nw Suite 300
Lawrenceville GA 30046
Phone: (770) 995-0823
Fax: (770) 995-7018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 026344 | Georgia |
Profile Details
| NPI number | 1487668133 |
|---|---|
| LBN Legal business name | Molock, Suzanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Aug 11th, 2016 - about 9 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 | 1487668133 | NPPES |
| Georgia | MEDICAID | 00289352B | |
| Georgia | MEDICAID | 00289352C | |
| Georgia | MEDICAID | 00289352A |
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