1023045663 NPI number — MS. SUZANNE JEANNETTE FERREE MD

Table of content: MS. SUZANNE JEANNETTE FERREE MD (NPI 1023045663)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023045663 NPI number — MS. SUZANNE JEANNETTE FERREE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FERREE
Provider First Name:
SUZANNE
Provider Middle Name:
JEANNETTE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FERREE
Provider Other First Name:
SUZANNE
Provider Other Middle Name:
JEANNETTE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1023045663
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/28/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11660 ALPHARETTA HWY STE 290
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROSWELL
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30076-4963
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-446-3600
Provider Business Mailing Address Fax Number:
404-446-3609

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11660 ALPHARETTA HWY STE 290
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROSWELL
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30076
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-446-3600
Provider Business Practice Location Address Fax Number:
404-446-3609
Provider Enumeration Date:
06/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  047772 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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