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Contact Information

JULIA SMITH, PA-C
2745 LOGANVILLE HWY
LOGANVILLE, GA30052
 Phone: 470-655-2364
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JULIA SMITH · (Female)

NPI # 1831688654
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/07/2018
Last updated 06/25/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 8778
  • NC Other 1142284 NCCPA CERTIFICATION ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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