Smith, James Antonio

Smith, James Antonio is an individual health care provider with primary practice located at 669 Castlebottom Dr , Lawrenceville GA 30045-2796. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Smith, James Antonio can be contacted via phone (518) 955-8868.

Contact Information

Primary practice address
669 Castlebottom Dr Lawrenceville GA 30045-2796
Phone: (518) 955-8868
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1140 Georgia

Profile Details

NPI number 1669944260
LBN Legal business name Smith, James Antonio
Credentials BSC, CADC II, ICADC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2018
Last updated Dec 19th, 2018 - about 8 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 1669944260 NPPES
Georgia Other 1140 THE ALCOHOL AND DRUG ABUSE CERTIFICATION BOARD OF GEORGIA, INC.
Georgia Other 806645 THE ALCOHOL AND DRUG ABUSE CERTIFICATION BOARD OF GEORGIA, INC.

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