Smith, Marjorie
Smith, Marjorie is an individual health care provider with primary practice located at 475 Philip Boulevard Suite 100, Lawrenceville GA 30045-9999. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Marjorie can be contacted via phone (770) 995-3307.Contact Information
Primary practice address
475 Philip Boulevard Suite 100
Lawrenceville GA 30045-9999
Phone: (770) 995-3307
Fax: (770) 995-3300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN192533NP | Georgia |
Profile Details
| NPI number | 1750337598 |
|---|---|
| LBN Legal business name | Smith, Marjorie |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Dec 10th, 2010 - about 14 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 | 1750337598 | NPPES |
| Georgia | MEDICAID | 439457490A | |
| Georgia | Other | 061407 |
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