Smith, William Robert

Smith, William Robert is an individual health care provider with primary practice located at 1140 Hammond Dr Ne Suite E5250, Atlanta GA 30328-5338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Smith, William Robert can be contacted via phone (404) 256-2688.

Contact Information

Primary practice address
1140 Hammond Dr Ne Suite E5250 Atlanta GA 30328-5338
Fax: (404) 256-1820
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 030894 Georgia

Profile Details

NPI number 1891795910
LBN Legal business name Smith, William Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891795910 NPPES
Georgia MEDICAID 00393775D

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