Smith, Greg R

Smith, Greg R is an individual health care provider with primary practice located at 477 Windsor St Sw Suite 203, Atlanta GA 30312-2530. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Technologists, Technicians & Other Technical Service Providers / Assistant Record Technician, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Smith, Greg R can be contacted via phone (404) 594-1447.

Contact Information

Primary practice address
477 Windsor St Sw Suite 203 Atlanta GA 30312-2530
Phone: (404) 594-1447
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Technologists, Technicians & Other Technical Service Providers / Assistant Record Technician 2470A2800X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1275986903
LBN Legal business name Smith, Greg R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2016
Last updated Jul 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275986903 NPPES
Georgia Other 11111111 UNDETERMINED

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