Lee, Susan
Lee, Susan is an individual health care provider with primary practice located at 5910 Hillandale Dr Ste 301 , Lithonia GA 30058-1880. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lee, Susan can be contacted via phone (770) 987-2155.Contact Information
Primary practice address
5910 Hillandale Dr Ste 301
Lithonia GA 30058-1880
Phone: (770) 987-2155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN089515 | Georgia |
Profile Details
| NPI number | 1619089711 |
|---|---|
| LBN Legal business name | Lee, Susan |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1619089711 | NPPES |
| Georgia | MEDICAID | 00416138A |
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