Smith, George Leon
Smith, George Leon is an sole proprietor health care provider with primary practice located at 4166 A Newton Drive , Covington GA 30014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, George Leon can be contacted via phone (770) 786-0643.Contact Information
Primary practice address
4166 A Newton Drive
Covington GA 30014
Phone: (770) 786-0643
Fax: (770) 787-0248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 021816 | Georgia |
Profile Details
| NPI number | 1750426920 |
|---|---|
| LBN Legal business name | Smith, George Leon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Dec 9th, 2009 - about 15 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 | 1750426920 | NPPES |
| Georgia | MEDICAID | 00247706B |
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