Kirby, Susan H
Kirby, Susan H is an individual health care provider with primary practice located at 2041 Mesa Valley Way Suite 100, Austell GA 30106-6828. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kirby, Susan H can be contacted via phone (770) 944-1100.Contact Information
Primary practice address
2041 Mesa Valley Way Suite 100
Austell GA 30106-6828
Phone: (770) 944-1100
Fax: (770) 944-6469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | F0207056 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN157966 | Georgia |
Profile Details
| NPI number | 1154533875 |
|---|---|
| LBN Legal business name | Kirby, Susan H |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Feb 5th, 2009 - about 15 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 | 1154533875 | NPPES |
| Georgia | MEDICAID | 475644168A | |
| Georgia | MEDICAID | 475644168B | |
| Georgia | MEDICAID | 475644168C |
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