Miller, Susan

Miller, Susan is an individual health care provider with primary practice located at 1701 N Patterson St , Valdosta GA 31602-2940. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Miller, Susan can be contacted via phone (229) 244-4545.

Contact Information

Primary practice address
1701 N Patterson St Valdosta GA 31602-2940
Fax: (229) 244-4244
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP0004522 Georgia

Profile Details

NPI number 1184780371
LBN Legal business name Miller, Susan
Credentials MED., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Jul 8th, 2007 - about 18 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 1184780371 NPPES
Georgia Other 340257 WELLCARE
Georgia Other 100842 WELLCARE

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