Individual
DANIEL J SMITH
Active
Individual
DANIEL J SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN113417
GA
363LF0000X
Family Nurse Practitioner
Primary
RN113417
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00077466G
—
GA
05
—
000777466F
—
GA
01
—
P00426911
RAILROAD MEDICARE
—
01
—
P00428789
RAILROAD MEDICARE
GA
Enumeration date
03/20/2006
Last updated
07/18/2012
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