| Cc Smith Md Inc | |
|
1200 Prospect St Ste 200 Sandusky OH 44870 | |
| (419) 621-5780 | |
| (419) 621-5791 |
| Full Name | Cc Smith Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 Prospect St, Sandusky, Ohio |
| Authorized Official Name and Position | Claudet C Smith (MD) |
| Authorized Official Contact | 4196215780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cc Smith Md Inc 1200 Prospect St Ste 200 Sandusky OH 44870 Ph: (419) 621-5780 | Cc Smith Md Inc 1200 Prospect St Ste 200 Sandusky OH 44870 Ph: (419) 621-5780 |
| NPI Number | 1922092592 |
|---|---|
| Provider Enumeration Date | 09/09/2005 |
| Last Update Date | 06/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922092592 | NPI | - | NPPES |
| 000000322103 | Other | OH | ANTHEM BCBS |
| 2817643 | Medicaid | OH | |
| 7679166 | Other | AETNA | |
| 5380 | Other | PARAMOUNT | |
| DB4873 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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