Suggs, Mary Sue
Suggs, Mary Sue is an sole proprietor health care provider with primary practice located at 1508 Cogswell Ave , Pell City AL 35125-1243. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Suggs, Mary Sue can be contacted via phone (205) 814-1598.Contact Information
Primary practice address
1508 Cogswell Ave
Pell City AL 35125-1243
Phone: (205) 814-1598
Fax: (205) 814-1587
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1052565 | Alabama |
Profile Details
NPI number | 1154317758 |
---|---|
LBN Legal business name | Suggs, Mary Sue |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 20th, 2005 |
Last updated | Dec 22nd, 2010 - about 14 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 | 1154317758 | NPPES |
Alabama | MEDICAID | 891001850 | |
Alabama | Other | 051550183 |
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