Smith, Nathan

Smith, Nathan is an individual health care provider with primary practice located at 1500 Olgethorpe Ave Bldg 500 Ste A, Athens GA 30606-2179. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Smith, Nathan can be contacted via phone (678) 971-4167.

Contact Information

Primary practice address
1500 Olgethorpe Ave Bldg 500 Ste A Athens GA 30606-2179
Phone: (678) 971-4167
Fax: (833) 989-2501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 29319 Oklahoma
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 77552 Georgia

Profile Details

NPI number 1174884662
LBN Legal business name Smith, Nathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2012
Last updated Aug 19th, 2022 - about 3 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 1174884662 NPPES
Georgia MEDICAID 003214027K

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