Smith, Stephanie J

Smith, Stephanie J is an individual health care provider with primary practice located at 1250 Jesse Jewell Pkwy Se Ste 200 , Gainesville GA 30501-3865. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Smith, Stephanie J can be contacted via phone (770) 297-7277.

Contact Information

Primary practice address
1250 Jesse Jewell Pkwy Se Ste 200 Gainesville GA 30501-3865
Phone: (770) 297-7277
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 039472 Georgia

Profile Details

NPI number 1255369732
LBN Legal business name Smith, Stephanie J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Sep 2nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255369732 NPPES
Georgia MEDICAID 00824271A
Georgia MEDICAID 000824271B

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