Sutphen, Susan
Sutphen, Susan is an individual health care provider with primary practice located at 6760 Jimmy Carter Blvd Suite 150, Norcross GA 30071-1278. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Sutphen, Susan can be contacted via phone (678) 892-2000.Contact Information
Primary practice address
6760 Jimmy Carter Blvd Suite 150
Norcross GA 30071-1278
Phone: (678) 892-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1083868939 |
|---|---|
| LBN Legal business name | Sutphen, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2008 |
| Last updated | Nov 5th, 2008 - about 18 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 | 1083868939 | NPPES |
| Georgia | Other | 037396 | GEOGIA MEDICAL LICENSE |
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