Wiles, Susan Marie
Wiles, Susan Marie is an individual health care provider with primary practice located at 2450 Atlanta Hwy Ste 701 , Cumming GA 30040-1255. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Wiles, Susan Marie can be contacted via phone (404) 834-8404.Contact Information
Primary practice address
2450 Atlanta Hwy Ste 701
Cumming GA 30040-1255
Phone: (404) 834-8404
Fax: (678) 456-3437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT001803 | Georgia |
Profile Details
| NPI number | 1801924402 |
|---|---|
| LBN Legal business name | Wiles, Susan Marie |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jun 4th, 2019 - about 5 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 | 1801924402 | NPPES |
| Georgia | MEDICAID | 000742178C |
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