Amielle Lydia Smith, PAC

Physician Assistant · Martinez, GA

Individual Active NPI

NPI number 1861009375

Practice location

4106 Columbia Rd Ste 103
Martinez, GA 30907-1482
Phone
(706) 863-1440
Fax
(706) 863-5418

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NPI record

NPI
1861009375
Entity type
Individual (Type 1)
Enumeration date
September 29, 2020
Last updated
January 7, 2022
Certified
January 7, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 00000 GA

About Amielle Smith

Amielle Lydia Smith, PAC is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 4106 Columbia Rd Ste 103, Martinez, GA 30907-1482. The NPI number 1861009375 was assigned on September 29, 2020 and the record was last updated on January 7, 2022.

Amielle Smith lists a license in the registry: #00000 (GA) 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 Amielle Lydia Smith, PAC?

The NPI number is 1861009375.

What is the phone number of Amielle Smith?

The phone number listed for the practice location is (706) 863-1440.

Where is Amielle Smith located?

4106 Columbia Rd Ste 103, Martinez, GA 30907-1482.

What is the taxonomy code for Amielle Smith?

The primary taxonomy code is 363A00000X – Physician Assistant.

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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