Smith, Georgiana

Smith, Georgiana is an individual health care provider with primary practice located at 5040 Virginia Beach Blvd , Virginia Beach VA 23462-6637. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Smith, Georgiana can be contacted via phone (757) 343-9573.

Contact Information

Primary practice address
5040 Virginia Beach Blvd Virginia Beach VA 23462-6637
Phone: (757) 343-9573
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 2772 Virginia

Profile Details

NPI number 1184268385
LBN Legal business name Smith, Georgiana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2019
Last updated Oct 30th, 2019 - about 6 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 1184268385 NPPES
Virginia MEDICAID 2772

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