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NPI Code Detail

MEDICARE: VICTORIA ANGELA MCGHEE SMITH MD

MEDICARE: VICTORIA ANGELA MCGHEE SMITH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician40645TN
2207Q00000XFamily Medicine PhysicianMD.024416LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306888433
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA ANGELA MCGHEE SMITH MD
Provider Business Mailing Address
First Line : 1514 JEFFERSON HWY
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70121-2429
Country : US
Telephone Number : 504-842-4000
Fax Number :
Provider Business Practice Location Address
First Line : 2120 DRIFTWOOD BLVD
Second Line :
City : KENNER
State : LA
Zip : 70065-3574
Country : US
Telephone Number : 504-443-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 08/14/2012

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Directions to “ VICTORIA ANGELA MCGHEE SMITH MD” Practice Location

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