Sussman, Hy Charles
Sussman, Hy Charles is an sole proprietor health care provider with primary practice located at 1350 Walton Way , Augusta GA 30901-2629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Sussman, Hy Charles can be contacted via phone (706) 737-6557.Contact Information
Primary practice address
1350 Walton Way
Augusta GA 30901-2629
Phone: (706) 737-6557
Fax: (706) 733-2229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 009271 | Georgia |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 6890 | South Carolina |
Profile Details
| NPI number | 1962466888 |
|---|---|
| LBN Legal business name | Sussman, Hy Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Dec 10th, 2012 - about 12 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 | 1962466888 | NPPES |
| South Carolina | MEDICAID | 903035 | |
| South Carolina | Other | 4232266 | |
| South Carolina | MEDICAID | 00020039L | |
| South Carolina | Other | 043723466 | |
| South Carolina | MEDICAID | GPA743 |
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