Kolb, Susan Elizabeth

Kolb, Susan Elizabeth is an sole proprietor health care provider with primary practice located at 4370 Georgetown Sq , Atlanta GA 30338-6205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Kolb, Susan Elizabeth can be contacted via phone (770) 457-4677.

Contact Information

Primary practice address
4370 Georgetown Sq Atlanta GA 30338-6205
Phone: (770) 457-4677
Fax: (770) 457-4428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 031272 Georgia

Profile Details

NPI number 1942291455
LBN Legal business name Kolb, Susan Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2005
Last updated Jan 18th, 2011 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942291455 NPPES
Georgia MEDICAID 000379486C

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