Smith, Mason Williams

Smith, Mason Williams is an individual health care provider with primary practice located at 131A Victory Dr , Swainsboro GA 30401-3234. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Smith, Mason Williams can be contacted via phone (478) 237-8342.

Contact Information

Primary practice address
131A Victory Dr Swainsboro GA 30401-3234
Phone: (478) 237-8342
Fax: (478) 237-8281
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH011423 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000305 Georgia

Profile Details

NPI number 1588662506
LBN Legal business name Smith, Mason Williams
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Nov 18th, 2022 - about 4 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 1588662506 NPPES
Georgia MEDICAID 100001353A
Georgia Other 10047407

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