Smith, Justin

Smith, Justin is an individual health care provider with primary practice located at 304 Shorter Ave Nw Ste 201 , Rome GA 30165-4256. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Smith, Justin can be contacted via phone (706) 509-3358.

Contact Information

Primary practice address
304 Shorter Ave Nw Ste 201 Rome GA 30165-4256
Phone: (706) 509-3358
Fax: (706) 292-7653
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 075250 Georgia

Profile Details

NPI number 1982015590
LBN Legal business name Smith, Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2014
Last updated Feb 17th, 2016 - about 9 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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