Carroll, Suni Hamm

Carroll, Suni Hamm is an individual health care provider with primary practice located at 1105 N 5Th Ave Ne , Rome GA 30165-2603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Carroll, Suni Hamm can be contacted via phone (706) 291-0884.

Contact Information

Primary practice address
1105 N 5Th Ave Ne Rome GA 30165-2603
Fax: (706) 378-8267
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN119358 Georgia

Profile Details

NPI number 1033315122
LBN Legal business name Carroll, Suni Hamm
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Jul 15th, 2014 - about 10 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 1033315122 NPPES
Georgia MEDICAID 766297560A

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