Cheryl Austin Smith, MD | |
820 Jordan St Ste 240, Shreveport, LA 71101-4512 | |
(877) 276-4846 | |
(318) 252-0560 |
Full Name | Cheryl Austin Smith |
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Gender | Female |
Speciality | Preventive Medicine - Addiction Medicine |
Location | 820 Jordan St Ste 240, Shreveport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235247230 | NPI | - | NPPES |
1495671 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 023233 (Louisiana) | Secondary |
2083A0300X | Preventive Medicine - Addiction Medicine | 023233 (Louisiana) | Primary |
Entity Name | Cheryl Austin Smith, Md, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891822714 PECOS PAC ID: 8224933577 Enrollment ID: O20031201000497 |
Mailing Address | Practice Location Address |
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Cheryl Austin Smith, MD 820 Jordan St Ste 240, Shreveport, LA 71101-4512 Ph: (877) 276-4846 | Cheryl Austin Smith, MD 820 Jordan St Ste 240, Shreveport, LA 71101-4512 Ph: (877) 276-4846 |
Ukeme Umoh, Preventive Medicine Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Dr. Michael Joseph Torma, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2530 Bert Kouns Industrial Blvd., Suite 138, Shreveport, LA 71118 Phone: 318-212-5911 Fax: 318-212-5931 |