Antony, Suja P

Antony, Suja P is an sole proprietor health care provider with primary practice located at 4000 Saint Marys Rd , Columbus GA 31907-7626. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Antony, Suja P can be contacted via phone (706) 685-2770.

Contact Information

Primary practice address
4000 Saint Marys Rd Columbus GA 31907-7626
Fax: (706) 685-3299
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 186261 Georgia

Profile Details

NPI number 1255819447
LBN Legal business name Antony, Suja P
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2018
Last updated Jul 31st, 2018 - about 6 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 1255819447 NPPES
Georgia Other GRP4537 MEDICARE

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