Guobadia, Smart

Guobadia, Smart is an sole proprietor health care provider with primary practice located at 1174 Mckendree Church Rd Ste 100 , Lawrenceville GA 30043-6000. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Guobadia, Smart can be contacted via phone (470) 338-1671.

Contact Information

Primary practice address
1174 Mckendree Church Rd Ste 100 Lawrenceville GA 30043-6000
Phone: (470) 338-1671
Fax: (888) 541-3996
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 067-R-1663 Georgia

Profile Details

NPI number 1659930279
LBN Legal business name Guobadia, Smart
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2019
Last updated Jun 7th, 2019 - about 7 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 1659930279 NPPES
Georgia MEDICAID 003216332B
Georgia MEDICAID 003216332A

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