Smith, Taniya

Smith, Taniya is an individual health care provider with primary practice located at 10075 Grand Bay Wilmer Road , Grand Bay AL 36541. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Smith, Taniya can be contacted via phone (251) 865-1852.

Contact Information

Primary practice address
10075 Grand Bay Wilmer Road Grand Bay AL 36541
Fax: (251) 865-1854
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO1048 Alabama

Profile Details

NPI number 1679669550
LBN Legal business name Smith, Taniya
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Mar 24th, 2014 - about 10 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 1679669550 NPPES
Alabama MEDICAID 151869

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