Healthcare Provider Details
I. General information
NPI: 1255331971
Provider Name (Legal Business Name): SMART SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2005
Last Update Date: 12/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7 LAGRANGE ST
NEWNAN GA
30263-2603
US
IV. Provider business mailing address
7 LAGRANGE ST
NEWNAN GA
30263-2603
US
V. Phone/Fax
- Phone: 770-254-1017
- Fax: 770-254-1200
- Phone: 770-254-1017
- Fax: 770-254-1200
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BETTY
BOYLSTON
Title or Position: PRESIDENT
Credential: CO, ATS, CRTS
Phone: 770-254-1017