Kenneth M Sussman in Dacula - Obstetrics & Gynecology
Kenneth M Sussman - NPI 1194888065
Kenneth M Sussman is a Obstetrics & Gynecology in Dacula, Georgia. Kenneth M Sussman practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Kenneth M Sussman is 1194888065. The last update date is 2007-07-09.
Kenneth M Sussman's current location address is 768 Glen Valley Way, Dacula, Georgia. You can contact this provider via phone number 7705133990. The mailing address for Kenneth M Sussman is 768 Glen Valley Way, Dacula, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth M Sussman |
|---|---|
| Address | 768 Glen Valley Way, Dacula, Georgia |
| Phone Number | 7705133990 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1194888065 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 768 Glen Valley Way |
|---|---|
| City | Dacula |
| State | Georgia (GA) |
| Post Code | 300194878 |
| Phone Number | 7705133990 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 50757 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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What is the unique identification code assigned to Kenneth M Sussman by the Centers for Medicare & Medicaid Services?
The Kenneth M Sussman has been issued the NPI (National Provider Identifier) 1194888065. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kenneth M Sussman?
The Kenneth M Sussman is situated at 768 Glen Valley Way, in the city of Dacula, state of GA, with the zip code 300194878.
What is Kenneth M Sussman's area of expertise and its corresponding taxonomy classification?
The Kenneth M Sussman's field of specialization is Obstetrics & Gynecology, and it falls under the taxonomy code 207V00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1194888065 to Kenneth M Sussman?
The Kenneth M Sussman received its 1194888065 assignment from the Centers for Medicare & Medicaid Services on 2006-12-19.
When was the information pertaining to Kenneth M Sussman most recently updated or revised?
The details related to Kenneth M Sussman, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
NPI Number: 1649248733
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