Smith, Alicia Louise
Smith, Alicia Louise is an individual health care provider with primary practice located at 140 Three Rivers Dr Ne , Rome GA 30161-4999. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Smith, Alicia Louise can be contacted via phone (706) 232-1300.Contact Information
Primary practice address
140 Three Rivers Dr Ne
Rome GA 30161-4999
Phone: (706) 232-1300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN192262 | Georgia |
Profile Details
| NPI number | 1396979621 |
|---|---|
| LBN Legal business name | Smith, Alicia Louise |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2009 |
| Last updated | Sep 14th, 2011 - about 15 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 | 1396979621 | NPPES |
| Georgia | MEDICAID | 299653708A |
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