MEDICARE: SUSAN L EPLEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	054075	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356348767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN L EPLEY MD

Provider Business Mailing Address
First Line	:	PO BOX 9027
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31908-9027
Country	:	US
Telephone Number	:	706-324-4891
Fax Number	:	706-576-4958

Provider Business Practice Location Address
First Line	:	2300 MANCHESTER EXPY
Second Line	:	BUTLER PAVILION, STE B001
City	:	COLUMBUS
State	:	GA
Zip	:	31904-6802
Country	:	US
Telephone Number	:	706-324-4891
Fax Number	:	706-576-4958

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	04/13/2014

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Directions to “ SUSAN L EPLEY MD” Practice Location

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