Smith, Daniel J

Smith, Daniel J is an sole proprietor health care provider with primary practice located at 747 S Hill St , Griffin GA 30224-4830. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Smith, Daniel J can be contacted via phone (770) 228-5407.

Contact Information

Primary practice address
747 S Hill St Griffin GA 30224-4830
Phone: (770) 228-5407
Fax: (770) 227-1430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X RN113417 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN113417 Georgia

Profile Details

NPI number 1265491294
LBN Legal business name Smith, Daniel J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2006
Last updated Jul 18th, 2012 - about 12 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 1265491294 NPPES
Other P00426911 RAILROAD MEDICARE
MEDICAID 00077466G RAILROAD MEDICARE
Other P00428789 RAILROAD MEDICARE
MEDICAID 000777466F RAILROAD MEDICARE

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