Azuh, Mary
Azuh, Mary is an individual health care provider with primary practice located at 1069 Lakefield Walk , Marietta GA 30064-5758. She recently has only one registered license in Nursing Service Providers / Administrator, which is considered as her primary health care specialty. Azuh, Mary can be contacted via phone (770) 356-7597.Contact Information
Primary practice address
1069 Lakefield Walk
Marietta GA 30064-5758
Phone: (770) 356-7597
Fax: (770) 726-7108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Administrator | 163WA2000X | 003159422A | Georgia |
Profile Details
| NPI number | 1366815383 |
|---|---|
| LBN Legal business name | Azuh, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2015 |
| Last updated | Nov 12th, 2015 - 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 | 1366815383 | NPPES |
| Georgia | MEDICAID | 003159422A |
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