Williamson, Susan B
Williamson, Susan B is an individual health care provider with primary practice located at 6600 Van Aalst Blvd Bldg 9250 , Fort Moore GA 31905-2102. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Williamson, Susan B can be contacted via phone (706) 545-9114.Contact Information
Primary practice address
6600 Van Aalst Blvd Bldg 9250
Fort Moore GA 31905-2102
Phone: (706) 545-9114
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT000629 | Georgia |
Profile Details
| NPI number | 1760544902 |
|---|---|
| LBN Legal business name | Williamson, Susan B |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Dec 13th, 2023 - about 3 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 | 1760544902 | NPPES |
| Georgia | Other | 52670844-001 | BCBS OF GA PROVIDER |
| Georgia | Other | 000748822D | BCBS OF GA PROVIDER |
| Georgia | Other | 335026 | BCBS OF GA PROVIDER |
| Georgia | MEDICAID | 000748822D | BCBS OF GA PROVIDER |
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