Thomas, Susan
Thomas, Susan is an individual health care provider with primary practice located at 1478 Dogwood Dr Se Ste B&C Kaiser Permanente Conyers Medical Office, Conyers GA 30013-5088. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thomas, Susan can be contacted via phone (678) 413-4320.Contact Information
Primary practice address
1478 Dogwood Dr Se Ste B&C Kaiser Permanente Conyers Medical Office
Conyers GA 30013-5088
Phone: (678) 413-4320
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 067173 | Georgia |
Profile Details
| NPI number | 1346478732 |
|---|---|
| LBN Legal business name | Thomas, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2009 |
| Last updated | Jan 10th, 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 | 1346478732 | NPPES |
| Georgia | Other | 067173 | LICENCE |
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