Ethel L Smith in Conyers - Family Medicine

Ethel L Smith - NPI 1104817014

Ethel L Smith is a Family Medicine in Conyers, Georgia. Ethel L Smith practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ethel L Smith is 1104817014. The last update date is 2007-07-08.

Ethel L Smith's current location address is 2020 Honey Creek Pkwy Se, Conyers, Georgia. You can contact this provider via phone number 7709190813 and fax number 7709293868. The mailing address for Ethel L Smith is 2020 Honey Creek Pkwy Se, Conyers, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Ethel L Smith
Address 2020 Honey Creek Pkwy Se, Conyers, Georgia
Phone Number 7709190813
Fax Number 7709293868
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1104817014
Provider Enumeration Date 2005-10-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2020 Honey Creek Pkwy Se
City Conyers
State Georgia (GA)
Post Code 30013
Phone Number 7709190813
Fax Number 7709293868

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 31510
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Ethel L Smith

What is the unique identifier code issued to Ethel L Smith by the Centers for Medicare & Medicaid Services (CMS)?

The Ethel L Smith has been assigned the NPI (National Provider Identifier) 1104817014. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Ethel L Smith?

The Ethel L Smith is situated at 2020 Honey Creek Pkwy Se, in the city of Conyers, state of GA, with the zip code 30013.

What is Ethel L Smith's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Ethel L Smith is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1104817014 to Ethel L Smith?

The Centers for Medicare & Medicaid Services assigned the 1104817014 to Ethel L Smith on 2005-10-31.

As of what date were the Ethel L Smith's details last updated?

The information pertaining to the Ethel L Smith, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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