Smith, Thurman Gregory
Smith, Thurman Gregory is an individual health care provider with primary practice located at 3317 N Wimberly Dr , Fayetteville AR 72703-4056. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Smith, Thurman Gregory can be contacted via phone (479) 521-2752.Contact Information
Primary practice address
3317 N Wimberly Dr
Fayetteville AR 72703-4056
Phone: (479) 521-2752
Fax: (479) 521-4603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | PA-539 | Arkansas |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-539 | Arkansas |
Profile Details
| NPI number | 1851723019 |
|---|---|
| LBN Legal business name | Smith, Thurman Gregory |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2013 |
| Last updated | Mar 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851723019 | NPPES |
| Arkansas | Other | 71-0412695 | TAX ID |
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