Smith, Marlo P.

Smith, Marlo P. is an individual health care provider with primary practice located at 770 Greison Trl Ste F , Newnan GA 30263-6401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Smith, Marlo P. can be contacted via phone (770) 400-5660.

Contact Information

Primary practice address
770 Greison Trl Ste F Newnan GA 30263-6401
Fax: (770) 400-5799
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN112907 Georgia

Profile Details

NPI number 1326259243
LBN Legal business name Smith, Marlo P.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Nov 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326259243 NPPES
Georgia Other RN112907 NURSING LICENSE

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