Smith Clinic Llc | |
5116 Northwind Blvd Valdosta GA 31605-7672 | |
(229) 261-9500 | |
(229) 261-9501 |
Full Name | Smith Clinic Llc |
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Speciality | Internal Medicine |
Location | 5116 Northwind Blvd, Valdosta, Georgia |
Authorized Official Name and Position | Larry E Smith (OWNER) |
Authorized Official Contact | 2292619500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Smith Clinic Llc 5116 Northwind Blvd Valdosta GA 31605-7672 Ph: (229) 261-9500 | Smith Clinic Llc 5116 Northwind Blvd Valdosta GA 31605-7672 Ph: (229) 261-9500 |
NPI Number | 1780241505 |
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Provider Enumeration Date | 05/28/2019 |
Last Update Date | 05/28/2019 |
Medicare PECOS PAC ID | 0840528626 |
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Medicare Enrollment ID | O20190819002425 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780241505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Larry E Smith |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548297195 PECOS PAC ID: 7416038070 Enrollment ID: I20080707000340 |
Joseph S Thomas M D Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Connell Rd, Ste T, Valdosta, GA 31602 Phone: 229-242-9565 Fax: 229-242-1725 | |
Care Medical Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2804 N Oak St, Suite C, Valdosta, GA 31602 Phone: 229-241-8925 Fax: 229-241-7672 | |
Griner Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3301 N Oak Street Ext, Valdosta, GA 31605 Phone: 229-242-6061 Fax: 229-242-6151 | |
Valdosta Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Greystone Way, Valdosta, GA 31605 Phone: 229-247-7700 | |
Valdosta Gastroenterology Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Connell Rd, Valdosta, GA 31602 Phone: 229-244-1570 Fax: 229-247-1084 | |
Partnership Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Griffin Ave, Valdosta, GA 31601 Phone: 229-245-0020 Fax: 229-245-9855 | |
Bennett P Hogan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 W Northside Dr, Valdosta, GA 31602 Phone: 229-333-0616 Fax: 229-333-0647 |