Smith, Jeralyn S
Smith, Jeralyn S is an individual health care provider with primary practice located at 133 W Athens St , Winder GA 30680-1786. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith, Jeralyn S can be contacted via phone (770) 867-6633.Contact Information
Primary practice address
133 W Athens St
Winder GA 30680-1786
Phone: (770) 867-6633
Fax: (770) 867-6703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 032054 | Georgia |
Profile Details
| NPI number | 1437130135 |
|---|---|
| LBN Legal business name | Smith, Jeralyn S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Aug 6th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437130135 | NPPES |
| Georgia | MEDICAID | 000726327F |
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