Smith, Martha
Smith, Martha is an individual health care provider with primary practice located at 101 Harris Industrial Blvd Ste A , Vidalia GA 30474-8852. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Smith, Martha can be contacted via phone (912) 535-3500.Contact Information
Primary practice address
101 Harris Industrial Blvd Ste A
Vidalia GA 30474-8852
Phone: (912) 535-3500
Fax: (912) 535-4498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 38614 | Georgia |
Profile Details
| NPI number | 1194732719 |
|---|---|
| LBN Legal business name | Smith, Martha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Apr 28th, 2021 - about 3 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 | 1194732719 | NPPES |
| Georgia | MEDICAID | 000607549N |
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