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Contact Information

SUSAN C WIECZOREK, NP-C, CWOCN
808 21ST ST
COLUMBUS, GA31904-8817
 Phone: 706-321-3901
 Fax: 706-321-3904
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SUSAN C WIECZOREK · (Female)

NPI Number 1013087386
Status Active
Credentials NP-C, CWOCN
Entity Individual
Enumeration date 11/08/2006
Last updated 02/24/2014 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # RN042301 NP
  • GA Medicaid 000901106C
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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