Smith, Dontaz
Smith, Dontaz is an sole proprietor health care provider with primary practice located at 2136 Hasel St , Lawrenceville GA 30044-4525. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Smith, Dontaz can be contacted via phone (502) 210-9665.Contact Information
Primary practice address
2136 Hasel St
Lawrenceville GA 30044-4525
Phone: (502) 210-9665
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT002632 | Georgia |
Profile Details
| NPI number | 1679925085 |
|---|---|
| LBN Legal business name | Smith, Dontaz |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2016 |
| Last updated | Jul 9th, 2016 - about 10 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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