Smith, Daphene

Smith, Daphene is an individual health care provider with primary practice located at 101 Regency Park Dr Ste 110 , Mcdonough GA 30253-7076. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Smith, Daphene can be contacted via phone (404) 996-0126.

Contact Information

Primary practice address
101 Regency Park Dr Ste 110 Mcdonough GA 30253-7076
Phone: (404) 996-0126
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085002952 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009234 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 085-002952 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2008018559 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085002952 Illinois

Profile Details

NPI number 1497869689
LBN Legal business name Smith, Daphene
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Aug 9th, 2023 - about 2 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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