Smith, Gary Mark
Smith, Gary Mark is an individual health care provider with primary practice located at 3330 Masonic Dr Christus Cabrini Group Practice - Intensivists, Alexandria LA 71301-3841. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Smith, Gary Mark can be contacted via phone (318) 448-6700.Contact Information
Primary practice address
3330 Masonic Dr Christus Cabrini Group Practice - Intensivists
Alexandria LA 71301-3841
Phone: (318) 448-6700
Fax: (318) 483-4066
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD06275R | Louisiana |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD.06275R | Louisiana |
Profile Details
NPI number | 1578512877 |
---|---|
LBN Legal business name | Smith, Gary Mark |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 6th, 2006 |
Last updated | Jan 16th, 2017 - about 7 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 | 1578512877 | NPPES |
Louisiana | MEDICAID | 1338133 |
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