Sumona Smith, NPI 1750566493
Vascular Surgery Physician in Braselton, GA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1750566493 |
| NPI Entity Type | Individual |
| Provider Name | Sumona Smith |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 1404 River Pl, Suite 201, Braselton, GA, US |
| Provider Mailing Address | Po Box 742616, Atlanta, GA, US, 303742616 |
| Gender | Female |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Vascular Surgery Physician |
| Classification | |
| Group | |
| License No. | 054343 |
| License State | GA |
| Description | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 054343 | GA | No | |||
| 21693 | MS | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| P01006900 | MS | RAILROAD MEDICARE PTAN | 01 |
| P01251951 | MS | RAILROAD MEDICARE | 01 |
| 174387 | AL | MEDICAID | 05 |
| 2359673 | LA | MEDICAID | 05 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| DIRECT | [email protected] | DIRECT | No | 1404 River Pl, Suite 201, Braselton, GA, US |
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