Daphene Smith, PA
Physician Assistant · McDonough, GA
Practice location
101 Regency Park Dr Ste 110McDonough, GA 30253-7076
- Phone
- (404) 996-0126
NPI record
- NPI
- 1497869689
- Entity type
- Individual (Type 1)
- Enumeration date
- August 18, 2006
- Last updated
- August 9, 2023
- Certified
- August 9, 2023
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
009234 | GA |
| Surgical Physician Assistant | 363AS0400X |
085002952 | IL |
| Emergency Medicine Physician | 207P00000X |
085-002952 | IL |
| Emergency Medicine Physician | 207P00000X |
2008018559 | MO |
| Physician Assistant | 363A00000X |
085002952 | IL |
Mailing address
1825 Highway 34 E Ste 1200Newnan, GA 30265-6416
Other practice locations (1)
- 1835 Kingshighway, East Saint Louis, IL 62204-2135 · (618) 482-7922
About Daphene Smith
Daphene Smith, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 101 Regency Park Dr Ste 110, McDonough, GA 30253-7076. The NPI number 1497869689 was assigned on August 18, 2006 and the record was last updated on August 9, 2023.
Daphene Smith lists 5 licenses in the registry: #009234 (GA) for Physician Assistant; #085002952 (IL) for Surgical Physician Assistant; #085-002952 (IL) for Emergency Medicine Physician; #2008018559 (MO) for Emergency Medicine Physician; #085002952 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Daphene Smith, PA?
The NPI number is 1497869689.
What is the phone number of Daphene Smith?
The phone number listed for the practice location is (404) 996-0126.
Where is Daphene Smith located?
101 Regency Park Dr Ste 110, McDonough, GA 30253-7076.
What is the taxonomy code for Daphene Smith?
The primary taxonomy code is 363A00000X – Physician Assistant; 4 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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