Sulton, Jacqueline R
Sulton, Jacqueline R is an individual health care provider with primary practice located at 2258 Northlake Pkwy Suite 100, Tucker GA 30084-4019. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sulton, Jacqueline R can be contacted via phone (770) 670-6100.Contact Information
Primary practice address
2258 Northlake Pkwy Suite 100
Tucker GA 30084-4019
Phone: (770) 670-6100
Fax: (470) 359-5996
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 027675 | Georgia |
Profile Details
| NPI number | 1326031741 |
|---|---|
| LBN Legal business name | Sulton, Jacqueline R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | May 5th, 2017 - 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 | 1326031741 | NPPES |
| Georgia | MEDICAID | 000307304D |
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