Dr Emma Alexandra Smith, | |
997 Woodbury Rd, Canton, GA 30114-4511 | |
(678) 787-2611 | |
Not Available |
Full Name | Dr Emma Alexandra Smith |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 997 Woodbury Rd, Canton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376122465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN262690 (Georgia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | GAA-CRNA001474 (Georgia) | Primary |
Entity Name | Sleep Ezzy |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154852820 PECOS PAC ID: 4486920295 Enrollment ID: O20171023003067 |
Entity Name | Dpi Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407323199 PECOS PAC ID: 0941546923 Enrollment ID: O20190111001990 |
Mailing Address | Practice Location Address |
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Dr Emma Alexandra Smith, 997 Woodbury Rd, Canton, GA 30114-4511 Ph: (678) 787-2611 | Dr Emma Alexandra Smith, 997 Woodbury Rd, Canton, GA 30114-4511 Ph: (678) 787-2611 |
Morgan Maeger, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1032 Forest Creek Dr, Canton, GA 30115 Phone: 770-367-3955 | |
Brent H. Suddeth, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 201 Hospital Rd, Anesthesia Dept, Canton, GA 30114 Phone: 404-851-6500 Fax: 770-237-1124 | |
Khushbu Modi, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 276 Harmony Lake Dr, Canton, GA 30115 Phone: 404-488-5590 | |
Carla D Porche, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 201 Hospital Rd, Anesthesia Dept, Canton, GA 30114 Phone: 404-851-6500 Fax: 770-237-1124 | |
James Michael Rutherford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Rd, Canton, GA 30114 Phone: 770-720-5100 Fax: 770-720-4508 | |
Marni Elizabeth Daniel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 Hospital Rd, Canton, GA 30114 Phone: 770-720-5100 Fax: 770-720-4508 | |
Kimberle J Hickey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 Hospital Rd, Anesthesia Department, Canton, GA 30114 Phone: 404-851-6500 Fax: 770-237-1124 |