Smith, Roger Michael
Smith, Roger Michael is an individual health care provider with primary practice located at 820 Saint Sebastian Way Suite 4E, Augusta GA 30901-2643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Smith, Roger Michael can be contacted via phone (706) 724-3339.Contact Information
Primary practice address
820 Saint Sebastian Way Suite 4E
Augusta GA 30901-2643
Phone: (706) 724-3339
Fax: (706) 722-3476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | GA020607 | Georgia |
Profile Details
| NPI number | 1225030760 |
|---|---|
| LBN Legal business name | Smith, Roger Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1225030760 | NPPES |
| Georgia | MEDICAID | 00179858A |
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