MEDICARE: DAVID WILLIAM SUHOLET M.D.

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	2084P0800X	Psychiatry Physician	046653	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

General Provider Information

NPI Number	:	1841304268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID WILLIAM SUHOLET M.D.

Provider Business Mailing Address
First Line	:	2751 BUFORD HWY NE
Second Line	:	SUITE 204
City	:	ATLANTA
State	:	GA
Zip	:	30324-3207
Country	:	US
Telephone Number	:	404-325-0100
Fax Number	:	404-237-9050

Provider Business Practice Location Address
First Line	:	2751 BUFORD HWY NE
Second Line	:	SUITE 204
City	:	ATLANTA
State	:	GA
Zip	:	30324-3207
Country	:	US
Telephone Number	:	404-325-0100
Fax Number	:	404-237-9050

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

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	12/27/2010

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