Smith, Herschel Wellington

Smith, Herschel Wellington is an individual health care provider with primary practice located at 1000 Medical Center Blvd Inpatient Medical Group, Lawrenceville GA 30045-7694. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Smith, Herschel Wellington can be contacted via phone (678) 442-3294.

Contact Information

Primary practice address
1000 Medical Center Blvd Inpatient Medical Group Lawrenceville GA 30045-7694
Phone: (678) 442-3294
Fax: (678) 442-3282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31129 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 31129 Georgia

Profile Details

NPI number 1952455990
LBN Legal business name Smith, Herschel Wellington
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Feb 24th, 2021 - about 3 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 1952455990 NPPES
Georgia MEDICAID 000379673K
Georgia Other P00289644

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