Greg Smith Md Llc | |
130 Hunter Station Way Suite 201 Sellersburg IN 47172-8930 | |
(812) 248-4789 | |
(812) 248-4773 |
Full Name | Greg Smith Md Llc |
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Speciality | Psychiatry & Neurology |
Location | 130 Hunter Station Way, Sellersburg, Indiana |
Authorized Official Name and Position | Greg Smith (OWNER) |
Authorized Official Contact | 8122484789 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Greg Smith Md Llc 130 Hunter Station Way Suite 201 Sellersburg IN 47172-8930 Ph: (812) 248-4789 | Greg Smith Md Llc 130 Hunter Station Way Suite 201 Sellersburg IN 47172-8930 Ph: (812) 248-4789 |
NPI Number | 1184952160 |
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Provider Enumeration Date | 12/02/2009 |
Last Update Date | 01/30/2015 |
Medicare PECOS PAC ID | 6901948595 |
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Medicare Enrollment ID | O20100120000309 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184952160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 01033821 (Indiana) | Primary |
Provider Name | Greg N Smith |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1649257866 PECOS PAC ID: 9133229396 Enrollment ID: I20091217000083 |
Sn Kentuckiana Rehab, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 651 Hamburg Way Ste 300, Sellersburg, IN 47172 Phone: 812-248-8180 | |
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