Suddeth, Brent H.

Suddeth, Brent H. is an individual health care provider with primary practice located at 201 Hospital Rd Anesthesia Dept, Canton GA 30114-2408. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Suddeth, Brent H. can be contacted via phone (404) 851-6500.

Contact Information

Primary practice address
201 Hospital Rd Anesthesia Dept Canton GA 30114-2408
Phone: (404) 851-6500
Fax: (770) 237-1124
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN149420 Georgia

Profile Details

NPI number 1063480457
LBN Legal business name Suddeth, Brent H.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1063480457 NPPES
Georgia Other RN149420 GA NURSING LICENSE

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