Suarez, Paola Juliana

Suarez, Paola Juliana is an individual health care provider with primary practice located at 220 Oakside Ln , Canton GA 30114-6413. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Suarez, Paola Juliana can be contacted via phone (678) 807-1050.

Contact Information

Primary practice address
220 Oakside Ln Canton GA 30114-6413
Phone: (678) 807-1050
Fax: (678) 807-1055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 67096 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19949 Mississippi

Profile Details

NPI number 1326221698
LBN Legal business name Suarez, Paola Juliana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2007
Last updated Jul 1st, 2014 - about 12 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 1326221698 NPPES
Georgia MEDICAID 300022400A
Georgia MEDICAID 00313120097
Georgia Other C02394

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