Smith, Rodney Lewis
Smith, Rodney Lewis is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Smith, Rodney Lewis can be contacted via phone (770) 534-1986.Contact Information
Primary practice address
725 Jesse Jewell Pkwy Se
Gainesville GA 30501-3834
Phone: (770) 534-1986
Fax: (770) 297-5645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 018553 | Georgia |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 018553 | Georgia |
Profile Details
| NPI number | 1144290917 |
|---|---|
| LBN Legal business name | Smith, Rodney Lewis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Apr 5th, 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 | 1144290917 | NPPES |
| Georgia | MEDICAID | 000270498C | |
| Georgia | Other | 52158651 | |
| Georgia | Other | 010036487 | |
| Georgia | Other | 10045346 | |
| Georgia | Other | 336487 | |
| Georgia | Other | 9733397 | |
| Georgia | MEDICAID | 000679764A | |
| Georgia | Other | 0100310 |
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