Edwin A Smith
Urologist Pediatric Urologist
5445 Meridian Marks Rd Ne Suite 420
Atlanta
, Georgia 30342-4763
Edwin A Smith
Urologist Pediatric Urologist
5445 Meridian Marks Rd Ne Suite 420
Atlanta
, Georgia 30342-4763
(678) 284-4076
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About
Features
Specialties
- Urologist
- Pediatric Urologist
Languages spoken
- English
Location
First Address
- Edwin A Smith
- 1930 Brannan Rd
- Mcdonough, GA
- Zip : 30253-4310
- Fax : (678) 284-4076
- Phone : (678) 284-4040
Second Address
- Edwin A Smith
- 5445 Meridian Marks Rd Ne Suite 420
- Atlanta, GA
- Zip : 30342-4763
- Fax : (404) 252-1268
- Phone : (404) 252-5206
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208800000X | Urologist | 034246 | GA |
| Y | 2088P0231X | Pediatric Urologist | 034246 | GA |
National Provider Identifier
| NPI | 1003828179 |
|---|---|
| Provider Name | Edwin A Smith |
| First Address | Mcdonough, GA 30253-4310 |
| Second Address | Atlanta, GA 30342-4763 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2006 |
| Last Update Date | 18/01/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000694999B | (05) | GA |
| 340014353 | RAILROAD MEDICARE (01) | GA |
| BS4021490 | DEA (01) | |
| G27088 | (02) | |
| Q34246 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.