Gray-Smith, Patricia Theresa

Gray-Smith, Patricia Theresa is an sole proprietor health care provider with primary practice located at 2795 Main St W Bldg 27 , Snellville GA 30078-3164. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Gray-Smith, Patricia Theresa can be contacted via phone (770) 985-8001.

Contact Information

Primary practice address
2795 Main St W Bldg 27 Snellville GA 30078-3164
Phone: (770) 985-8001
Fax: (770) 985-8028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN167539 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN167539 Georgia

Profile Details

NPI number 1740379247
LBN Legal business name Gray-Smith, Patricia Theresa
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated May 23rd, 2014 - about 12 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 1740379247 NPPES
Georgia MEDICAID 015829263A

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