Smith, Susan Stacy

Smith, Susan Stacy is an individual health care provider with primary practice located at 1370 Montreal Rd Ste 100, Tucker GA 30084-8128. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Smith, Susan Stacy can be contacted via phone (770) 939-3566.

Contact Information

Primary practice address
1370 Montreal Rd Ste 100 Tucker GA 30084-8128
Phone: (770) 939-3566
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT008759 Georgia

Profile Details

NPI number 1356436596
LBN Legal business name Smith, Susan Stacy
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated May 1st, 2008 - about 16 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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