Smith, Mark T.
Smith, Mark T. is an individual health care provider with primary practice located at 701 Greene St Ste 200 , Augusta GA 30901-2385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Smith, Mark T. can be contacted via phone (706) 722-6900.Contact Information
Primary practice address
701 Greene St Ste 200
Augusta GA 30901-2385
Phone: (706) 722-6900
Fax: (706) 722-5118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 18516 | South Carolina |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 222405 | Alaska |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 037908 | Georgia |
Profile Details
| NPI number | 1861479651 |
|---|---|
| LBN Legal business name | Smith, Mark T. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | May 14th, 2024 - about 4 months 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 | 1861479651 | NPPES |
| Georgia | MEDICAID | 00871109A | |
| Georgia | MEDICAID | 185169 |
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