Pennie Lowanda Smith in Carbondale - Physician Assistant

Pennie Lowanda Smith - NPI 1194732271

Pennie Lowanda Smith is a Physician Assistant in Carbondale, Illinois. Pennie Lowanda Smith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Pennie Lowanda Smith is 1194732271. The last update date is 2020-10-23.

Pennie Lowanda Smith's current location address is Po Box 3008, Carbondale, Illinois. You can contact this provider via phone number 6187344400 and fax number 6184778557. The mailing address for Pennie Lowanda Smith is Po Box 3008, Carbondale, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Pennie Lowanda Smith
Address Po Box 3008, Carbondale, Illinois
Phone Number 6187344400
Fax Number 6184778557
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1194732271
Provider Enumeration Date 2006-08-02
Last Updated Date 2020-10-23

Provider Mailing Address Detail

Address Po Box 3008
City Carbondale
State Illinois (IL)
Post Code 629023008
Phone Number 6187344400
Fax Number 6184778557

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 85001576
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Pennie Lowanda Smith

What is the unique 10-digit identifier code assigned to Pennie Lowanda Smith by the Centers for Medicare & Medicaid Services?

The Pennie Lowanda Smith has been issued the NPI (National Provider Identifier) 1194732271 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Pennie Lowanda Smith's facilities are geographically located?

The facilities of Pennie Lowanda Smith are physically situated at the following location: Po Box 3008, Carbondale, IL, 629023008.

What is Pennie Lowanda 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 Pennie Lowanda Smith is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1194732271 to Pennie Lowanda Smith?

The Centers for Medicare & Medicaid Services assigned the 1194732271 to Pennie Lowanda Smith on 2006-08-02.

When was the information related to Pennie Lowanda Smith most recently updated or refreshed?

The details pertaining to the Pennie Lowanda Smith, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-10-23.

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