Smith, Gregory Allen
Smith, Gregory Allen is an individual health care provider with primary practice located at 315 Blvd Ne Ste 336, Atlanta GA 30312. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Smith, Gregory Allen can be contacted via phone (404) 522-4888.Contact Information
Primary practice address
315 Blvd Ne Ste 336
Atlanta GA 30312
Phone: (404) 522-4888
Fax: (404) 581-0379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 034511 | Georgia |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 034511 | Georgia |
Profile Details
| NPI number | 1992769202 |
|---|---|
| LBN Legal business name | Smith, Gregory Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Nov 5th, 2012 - about 13 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 | 1992769202 | NPPES |
| Other | 024912 | BCBS | |
| MEDICAID | 000461128 | BCBS | |
| Other | 480791 | BCBS |
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