Smith, Angela Dean
Smith, Angela Dean is an individual health care provider with primary practice located at 6401 Shallowford Road , Chattanooga TN 37421. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Smith, Angela Dean can be contacted via phone (423) 870-9988.Contact Information
Primary practice address
6401 Shallowford Road
Chattanooga TN 37421
Phone: (423) 870-9988
Fax: (423) 870-9955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | POD001001 | Georgia |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | DPM585 | Tennessee |
Profile Details
| NPI number | 1538183371 |
|---|---|
| LBN Legal business name | Smith, Angela Dean |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | May 24th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538183371 | NPPES |
| Georgia | MEDICAID | 596271187A | |
| Georgia | MEDICAID | 3723317 |
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