Blank, Susan Kaye

Blank, Susan Kaye is an individual health care provider with primary practice located at 1846 Old Norcross Rd Suite 100, Lawrenceville GA 30044-8801. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Addiction Psychiatry is her primary health care specialty. Blank, Susan Kaye can be contacted via phone (770) 696-9862.

Contact Information

Primary practice address
1846 Old Norcross Rd Suite 100 Lawrenceville GA 30044-8801
Phone: (770) 696-9862
Fax: (770) 710-0243
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X 033782 Georgia
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 033782 Georgia

Profile Details

NPI number 1639112584
LBN Legal business name Blank, Susan Kaye
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Sep 10th, 2012 - about 13 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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