Smith, Kirby Odis
Smith, Kirby Odis is an individual health care provider with primary practice located at 1 Magnolia Ct , Moultrie GA 31768-6764. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Kirby Odis can be contacted via phone (229) 502-9769.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 039676 | Georgia |
Profile Details
| NPI number | 1801987292 |
|---|---|
| LBN Legal business name | Smith, Kirby Odis |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jul 28th, 2023 - about last year |
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 | 1801987292 | NPPES |
| Georgia | MEDICAID | 00658325B | |
| Georgia | MEDICAID | 000658325D |
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