Smith, Shelby Colquitt
Smith, Shelby Colquitt is an individual health care provider with primary practice located at 6308 Adams Park Dr , Columbus GA 31909-3528. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Smith, Shelby Colquitt can be contacted via phone (229) 942-8289.Contact Information
Primary practice address
6308 Adams Park Dr
Columbus GA 31909-3528
Phone: (229) 942-8289
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | RN139882 | Georgia |
Profile Details
| NPI number | 1073744280 |
|---|---|
| LBN Legal business name | Smith, Shelby Colquitt |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2009 |
| Last updated | Sep 26th, 2016 - about 8 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 | 1073744280 | NPPES |
| Georgia | MEDICAID | 513630481C |
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