Smith, Janice J.
Smith, Janice J. is an individual health care provider with primary practice located at 2825 Keith Bridge Rd Suite 200, Cumming GA 30041-3936. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Smith, Janice J. can be contacted via phone (770) 886-7135.Contact Information
Primary practice address
2825 Keith Bridge Rd Suite 200
Cumming GA 30041-3936
Phone: (770) 886-7135
Fax: (770) 887-2566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 034332 | Georgia |
Profile Details
| NPI number | 1649263955 |
|---|---|
| LBN Legal business name | Smith, Janice J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Nov 5th, 2020 - about 4 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 | 1649263955 | NPPES |
| Georgia | MEDICAID | 00495206D |
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