Oliver, Mary Susan

Oliver, Mary Susan is an individual health care provider with primary practice located at 400 Charter Blvd , Macon GA 31210-4831. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Oliver, Mary Susan can be contacted via phone (478) 745-8871.

Contact Information

Primary practice address
400 Charter Blvd Macon GA 31210-4831
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 024049 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 024049 Georgia

Profile Details

NPI number 1447228382
LBN Legal business name Oliver, Mary Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 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 1447228382 NPPES
Georgia Other 472876 BCBS OF GA

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