Richardson, Susan A
Richardson, Susan A is an individual health care provider with primary practice located at 3075 Breckinridge Blvd Ste 415 Aid Gwinnett, Duluth GA 30096-4981. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Richardson, Susan A can be contacted via phone (770) 962-8396.Contact Information
Primary practice address
3075 Breckinridge Blvd Ste 415 Aid Gwinnett
Duluth GA 30096-4981
Phone: (770) 962-8396
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN073504 | Georgia |
Profile Details
| NPI number | 1144488545 |
|---|---|
| LBN Legal business name | Richardson, Susan A |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2008 |
| Last updated | Aug 31st, 2011 - about 13 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 | 1144488545 | NPPES |
| Georgia | MEDICAID | 000979921B |
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