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NPI Code Detail

MEDICARE: MR. ANTHONY GRIFFITH SMITH ARNP

MEDICARE: MR. ANTHONY GRIFFITH SMITH ARNP
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
1363LP0200XPediatric Nurse Practitioner1934882FL

Other Identifiers

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

General Provider Information

NPI Number : 1477609600
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANTHONY GRIFFITH SMITH ARNP
Provider Business Mailing Address
First Line : 140 NEWCOMB AVE
Second Line : SUITE 2C & D
City : MOUNT VERNON
State : KY
Zip : 40456-2725
Country : US
Telephone Number : 606-256-4148
Fax Number : 606-256-7785
Provider Business Practice Location Address
First Line : 140 NEWCOMB AVE
Second Line : SUITE 2C & D
City : MOUNT VERNON
State : KY
Zip : 40456-2725
Country : US
Telephone Number : 606-256-4148
Fax Number : 606-256-7785
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 08/30/2012

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