Smith, Thomas W.
Smith, Thomas W. is an sole proprietor health care provider with primary practice located at 3000 Hospital Blvd , Roswell GA 30076-4915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smith, Thomas W. can be contacted via phone (770) 751-2777.Contact Information
Primary practice address
3000 Hospital Blvd
Roswell GA 30076-4915
Phone: (770) 751-2777
Fax: (770) 751-2773
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 046254 | Georgia |
Profile Details
NPI number | 1790722569 |
---|---|
LBN Legal business name | Smith, Thomas W. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 1st, 2006 |
Last updated | Jun 19th, 2008 - about 17 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 | 1790722569 | NPPES |
Georgia | MEDICAID | 000894242A |
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