Truesdell, Clara W

Truesdell, Clara W is an individual health care provider with primary practice located at 185 Old Peachtree Rd Nw , Suwanee GA 30024-2511. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Truesdell, Clara W can be contacted via phone (678) 937-0300.

Contact Information

Primary practice address
185 Old Peachtree Rd Nw Suwanee GA 30024-2511
Fax: (781) 464-2599
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 034974 Georgia

Profile Details

NPI number 1508854811
LBN Legal business name Truesdell, Clara W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Apr 19th, 2024 - about 7 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508854811 NPPES
Georgia MEDICAID 000641253J
Georgia MEDICAID 000641253 F TO I

Popular Providers