Summerhill-Brcka, Stephanie

Summerhill-Brcka, Stephanie is an individual health care provider with primary practice located at 2400 Mount Zion Pkwy , Jonesboro GA 30236-2500. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Summerhill-Brcka, Stephanie can be contacted via phone (404) 365-0966.

Contact Information

Primary practice address
2400 Mount Zion Pkwy Jonesboro GA 30236-2500
Phone: (404) 365-0966
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103206 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 75264 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 007885 Georgia

Profile Details

NPI number 1174550693
LBN Legal business name Summerhill-Brcka, Stephanie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Sep 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174550693 NPPES
Georgia MEDICAID 003175607C

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