Phillips, Susan

Phillips, Susan is an individual health care provider with primary practice located at 1199 Prince Ave Midwfiery Clinic, Athens GA 30606-2797. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Phillips, Susan can be contacted via phone (706) 475-4917.

Contact Information

Primary practice address
1199 Prince Ave Midwfiery Clinic Athens GA 30606-2797
Phone: (706) 475-4917
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN092464 Georgia

Profile Details

NPI number 1639234685
LBN Legal business name Phillips, Susan
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jun 10th, 2014 - about 11 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 1639234685 NPPES
Georgia MEDICAID 00484921A

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