Individual
SUSAN L FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
758 OLD NORCROSS RD, SUITE 100, LAWRENCEVILLE, GA 30046-3385
(770) 962-4300
(770) 339-7544
Mailing address
758 OLD NORCROSS RD, SUITE 100, LAWRENCEVILLE, GA 30046-3385
(770) 962-4300
(770) 339-7544
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN097357
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497662017A
—
GA
05
—
497662017I
—
GA
01
—
P01708644
MEDICARE RR
GA
Enumeration date
02/21/2006
Last updated
03/04/2020
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