| Shannon D Smith D. C P.c | |
|
235 N Church St, Homerville, GA 31634-2451 | |
| (912) 487-2288 | |
| (912) 487-2083 |
| Full Name | Shannon D Smith D. C P.c |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 235 N Church St, Homerville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659599645 | NPI | - | NPPES |
| 511G700683 | Other | GA | MEDICARE GROUP PTAN |
| 35ZCDDD | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5479 (Georgia) | Primary |
| Provider Name | Shannon D Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295894509 PECOS PAC ID: 5496827354 Enrollment ID: I20080709000514 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon D Smith D. C P.c 235 N Church St, Homerville, GA 31634-2451 Ph: (912) 487-2288 | Shannon D Smith D. C P.c 235 N Church St, Homerville, GA 31634-2451 Ph: (912) 487-2288 |
Shannon Davis Smith, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 235 North Church Street, Homerville, GA 31634 Phone: 912-487-2288 Fax: 912-487-2083 | |
Dr. David O'neal Morris Jr., CHIROPRACTOR Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 53 Lisa Rd, Homerville, GA 31634 Phone: 912-520-1448 |