Smith, John Darrell

Smith, John Darrell is an individual health care provider with primary practice located at 3333 Jodeco Road Suite A, Mcdonough GA 30253. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Smith, John Darrell can be contacted via phone (770) 692-4000.

Contact Information

Primary practice address
3333 Jodeco Road Suite A Mcdonough GA 30253
Phone: (770) 692-4000
Fax: (770) 474-8510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036012 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036012 Georgia

Profile Details

NPI number 1023054806
LBN Legal business name Smith, John Darrell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Feb 22nd, 2024 - about last year

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 1023054806 NPPES
Georgia MEDICAID 00508626C
Georgia MEDICAID 00508626B

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