Prescott, Susan R.

Prescott, Susan R. is an individual health care provider with primary practice located at 157 Clinic Ave Ste 201 , Carrollton GA 30117-4454. 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. Prescott, Susan R. can be contacted via phone (770) 214-2800.

Contact Information

Primary practice address
157 Clinic Ave Ste 201 Carrollton GA 30117-4454
Phone: (770) 214-2800
Fax: (770) 214-2803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN063723 Georgia

Profile Details

NPI number 1639267099
LBN Legal business name Prescott, Susan R.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jan 31st, 2024 - about 10 months 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 1639267099 NPPES
Georgia MEDICAID 000789192E

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