Susan Carol Wieczorek in Columbus - Family

Susan Carol Wieczorek - NPI 1013087386

Susan Carol Wieczorek is a Family in Columbus, Georgia. Susan Carol Wieczorek practices all healthcare services and medical treatments related to Family. The NPI Number for Susan Carol Wieczorek is 1013087386. The last update date is 2014-02-24.

Susan Carol Wieczorek's current location address is 7849 Gray Shoals Dr, Columbus, Georgia. You can contact this provider via phone number 7065875771 and fax number 7063213904. The mailing address for Susan Carol Wieczorek is 7849 Gray Shoals Dr, Columbus, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Carol Wieczorek
Address 7849 Gray Shoals Dr, Columbus, Georgia
Phone Number 7065875771
Fax Number 7063213904
Sole Proprietor Y
Credentials NP-C, CWOC

NPI Number Detail

NPI Number 1013087386
Provider Enumeration Date 2006-11-08
Last Updated Date 2014-02-24

Provider Mailing Address Detail

Address 7849 Gray Shoals Dr
City Columbus
State Georgia (GA)
Post Code 319042121
Phone Number 7065875771
Fax Number 7063213904

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No RN042301 NP
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000901106C GA --

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FAQs about Susan Carol Wieczorek

What is the Susan Carol Wieczorek's unique identification number?

The Susan Carol Wieczorek has been assigned the NPI (National Provider Identifier) Number 1013087386 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Susan Carol Wieczorek's physical address?

The Susan Carol Wieczorek is physically located at 7849 Gray Shoals Dr, in the city of Columbus, GA, with the postal code 319042121.

What is Susan Carol Wieczorek's specialized field of practice, and what is the corresponding taxonomy classification code?

The Susan Carol Wieczorek's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1013087386 to Susan Carol Wieczorek?

The Centers for Medicare & Medicaid Services originally issued the 1013087386 to Susan Carol Wieczorek on 2006-11-08.

When was the information regarding Susan Carol Wieczorek, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Susan Carol Wieczorek, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-02-24.

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