Radtke, Fairoz Matjan
Radtke, Fairoz Matjan is an individual health care provider with primary practice located at 5400 Laurel Springs Pkwy Suite 1401, Suwanee GA 30024-6056. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Radtke, Fairoz Matjan can be contacted via phone (678) 513-2228.Contact Information
Primary practice address
5400 Laurel Springs Pkwy Suite 1401
Suwanee GA 30024-6056
Phone: (678) 513-2228
Fax: (678) 513-1147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 003766 | Georgia |
Profile Details
| NPI number | 1114207032 |
|---|---|
| LBN Legal business name | Radtke, Fairoz Matjan |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2011 |
| Last updated | Jun 26th, 2018 - about 6 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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