Ivy Yvonne Smith in Tyrone - Family Medicine

Ivy Yvonne Smith - NPI 1801991773

Ivy Yvonne Smith is a Family Medicine in Tyrone, Georgia. Ivy Yvonne Smith practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ivy Yvonne Smith is 1801991773. The last update date is 2008-07-21.

Ivy Yvonne Smith's current location address is 120 Handley Rd, Tyrone, Georgia. You can contact this provider via phone number 7709645810 and fax number 6783641216. The mailing address for Ivy Yvonne Smith is 120 Handley Rd, Tyrone, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Ivy Yvonne Smith
Address 120 Handley Rd, Tyrone, Georgia
Phone Number 7709645810
Fax Number 6783641216
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1801991773
Provider Enumeration Date 2006-09-14
Last Updated Date 2008-07-21

Provider Mailing Address Detail

Address 120 Handley Rd
City Tyrone
State Georgia (GA)
Post Code 302901625
Phone Number 7709645810
Fax Number 6783641216

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 53075
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
407530212B GA --

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FAQs about Ivy Yvonne Smith

What is the unique provider identifier assigned to Ivy Yvonne Smith?

The Ivy Yvonne Smith has been issued the NPI (National Provider Identifier) 1801991773 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Ivy Yvonne Smith's physical address?

The Ivy Yvonne Smith is physically located at 120 Handley Rd, in the city of Tyrone, GA, with the postal code 302901625.

What is Ivy Yvonne Smith's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Ivy Yvonne Smith is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Ivy Yvonne Smith receive its 1801991773 assignment from the Centers for Medicare & Medicaid Services?

The Ivy Yvonne Smith was assigned its 1801991773 by the Centers for Medicare & Medicaid Services on 2006-09-14.

As of what date were the details related to Ivy Yvonne Smith most recently updated or revised?

The information pertaining to Ivy Yvonne Smith, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-21.

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