Smith, Gregory Scott

Smith, Gregory Scott is an individual health care provider with primary practice located at 4030 Lawrenceville Hwy Nw Ste. 9, Lilburn GA 30047-3011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Gregory Scott can be contacted via phone (770) 921-4811.

Contact Information

Primary practice address
4030 Lawrenceville Hwy Nw Ste. 9 Lilburn GA 30047-3011
Phone: (770) 921-4811
Fax: (770) 921-7943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042440 Georgia

Profile Details

NPI number 1861582934
LBN Legal business name Smith, Gregory Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Dec 15th, 2014 - about 10 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 1861582934 NPPES
Georgia Other 1609816123 GEORGIA CLINIC PC GROUP NPI #
Georgia MEDICAID 003124308C GEORGIA CLINIC PC GROUP NPI #
Georgia MEDICAID 003124308A GEORGIA CLINIC PC GROUP NPI #
Georgia MEDICAID 003124308B GEORGIA CLINIC PC GROUP NPI #

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