Smith, Denise W

Smith, Denise W is an sole proprietor health care provider with primary practice located at 100 Myrtle Blvd , Gracewood GA 30812-1500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith, Denise W can be contacted via phone (706) 790-2160.

Contact Information

Primary practice address
100 Myrtle Blvd Gracewood GA 30812-1500
Phone: (706) 790-2160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 022643 Georgia

Profile Details

NPI number 1083704712
LBN Legal business name Smith, Denise W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Jul 8th, 2007 - about 18 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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