Mrs. Shelby Colquitt Smith
Nurse Practitioner - Primary Care
6308 Adams Park Dr
Columbus
, Georgia 31909-3528
Mrs. Shelby Colquitt Smith
Nurse Practitioner - Primary Care
6308 Adams Park Dr
Columbus
, Georgia 31909-3528
(229) 942-8289
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Mrs. Shelby Colquitt Smith
- 6308 Adams Park Dr
- Columbus, GA
- Zip : 31909-3528
- Phone : (229) 942-8289
Second Address
- Mrs. Shelby Colquitt Smith
- 6308 Adams Park Dr
- Columbus, GA
- Zip : 31909-3528
- Phone : (229) 942-8289
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | RN139882 | GA |
National Provider Identifier
| NPI | 1073744280 |
|---|---|
| Provider Name | Mrs. Shelby Colquitt Smith |
| First Address | Columbus, GA 31909-3528 |
| Second Address | Columbus, GA 31909-3528 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2009 |
| Last Update Date | 26/09/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 513630481C | (05) | GA |
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.