Redd, Susan

Redd, Susan is an sole proprietor health care provider with primary practice located at 1401 Applewood Dr , Dalton GA 30720-2699. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Redd, Susan can be contacted via phone (706) 270-5033.

Contact Information

Primary practice address
1401 Applewood Dr Dalton GA 30720-2699
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1568837524
LBN Legal business name Redd, Susan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2015
Last updated Dec 2nd, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568837524 NPPES
Georgia Other 58-2103386 COMMUNITY BEHAVIORAL HEALTH

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