Smith, Robert
Smith, Robert is an individual health care provider with primary practice located at 1365 Clifton Rd Ne , Atlanta GA 30322-1013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Smith, Robert can be contacted via phone (404) 778-3324.Contact Information
Primary practice address
1365 Clifton Rd Ne
Atlanta GA 30322-1013
Phone: (404) 778-3324
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 008212 | Georgia |
Profile Details
| NPI number | 1588680680 |
|---|---|
| LBN Legal business name | Smith, Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1588680680 | NPPES |
| Georgia | Other | 100357 | BLUE SHIELD |
| Georgia | Other | 1172080 | BLUE SHIELD |
| Georgia | Other | 515256 | BLUE SHIELD |
| Georgia | Other | Y 19880601 | BLUE SHIELD |
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