Smith, Sumona

Smith, Sumona is an individual health care provider with primary practice located at 1404 River Pl Suite 201, Braselton GA 30517-5600. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Smith, Sumona can be contacted via phone (770) 219-4000.

Contact Information

Primary practice address
1404 River Pl Suite 201 Braselton GA 30517-5600
Fax: (770) 219-4001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 054343 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 21693 Mississippi
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 054343 Georgia

Profile Details

NPI number 1750566493
LBN Legal business name Smith, Sumona
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2007
Last updated Oct 15th, 2020 - about 6 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 1750566493 NPPES
Mississippi Other P01006900 RAILROAD MEDICARE PTAN
Mississippi Other P01251951 RAILROAD MEDICARE PTAN
Mississippi MEDICAID 174387 RAILROAD MEDICARE PTAN
Mississippi MEDICAID 2359673 RAILROAD MEDICARE PTAN

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