Suss, Stephen John
Suss, Stephen John is an individual health care provider with primary practice located at 1478 Dogwood Drive, Se, Suites B & C Kaiser Permanente Conyers Medical Center, Conyers GA 30013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Suss, Stephen John can be contacted via phone (678) 413-4320.Contact Information
Primary practice address
1478 Dogwood Drive, Se, Suites B & C Kaiser Permanente Conyers Medical Center
Conyers GA 30013
Phone: (678) 413-4320
Fax: (706) 865-6268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD-033938-E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 054679 | Georgia |
Profile Details
| NPI number | 1407834161 |
|---|---|
| LBN Legal business name | Suss, Stephen John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Apr 13th, 2022 - about 2 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 | 1407834161 | NPPES |
| Georgia | Other | CN0368 | RR MEDICARE GROUP |
| Georgia | Other | HOSP60 | RR MEDICARE GROUP |
| Georgia | Other | 015953 | RR MEDICARE GROUP |
| Georgia | MEDICAID | 195109401A | RR MEDICARE GROUP |
| Georgia | Other | P00146364 | RR MEDICARE GROUP |
| Georgia | MEDICAID | 197753376 | RR MEDICARE GROUP |
| Georgia | Other | 10063293 | RR MEDICARE GROUP |
| Georgia | Other | 336284 | RR MEDICARE GROUP |
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