Smith, Susan D
Smith, Susan D is an individual health care provider with primary practice located at 3645 A Howell Ferry Rd , Duluth GA 30096. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith, Susan D can be contacted via phone (678) 473-4738.Contact Information
Primary practice address
3645 A Howell Ferry Rd
Duluth GA 30096
Phone: (678) 473-4738
Fax: (679) 473-4739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | RN050646 | Georgia |
Profile Details
| NPI number | 1437167939 |
|---|---|
| LBN Legal business name | Smith, Susan D |
| Credentials | MSN CPNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437167939 | NPPES |
| Georgia | MEDICAID | 796001599A |
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