Individual
SUSAN A. FISCHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
227 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 720-7733
(770) 720-7557
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4282M
KY
367A00000X
Advanced Practice Midwife
RN298285
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000329595
BCBS PIN
—
01
—
4282M
LICENSE
KY
05
—
78011624
—
KY
Enumeration date
09/17/2006
Last updated
02/04/2021
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