Smith, Tammy G

Smith, Tammy G is an sole proprietor health care provider with primary practice located at 2610 Hwy 129 N , Jefferson GA 30549. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Smith, Tammy G can be contacted via phone (706) 367-1010.

Contact Information

Primary practice address
2610 Hwy 129 N Jefferson GA 30549
Phone: (706) 367-1010
Fax: (706) 367-1050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 038372 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 038372 Georgia

Profile Details

NPI number 1740382894
LBN Legal business name Smith, Tammy G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2006
Last updated Jul 17th, 2024 - about 2 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 1740382894 NPPES
Georgia MEDICAID 000608253H

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