Kirkland, John Smith

Kirkland, John Smith is an individual health care provider with primary practice located at 796 N Division St Nw , Rome GA 30165-1404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Kirkland, John Smith can be contacted via phone (762) 235-3760.

Contact Information

Primary practice address
796 N Division St Nw Rome GA 30165-1404
Phone: (762) 235-3760
Fax: (706) 232-4131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 015480 Georgia

Profile Details

NPI number 1801958772
LBN Legal business name Kirkland, John Smith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Apr 27th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801958772 NPPES
Georgia MEDICAID 000155438A
Georgia MEDICAID 000155438G

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