MEDICARE: ANGELA SMITH

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
1	1744P3200X	Prosthetics Case Management

General Provider Information

NPI Number	:	1750775441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA SMITH

Provider Business Mailing Address
First Line	:	2086 JODECO RD
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30253-5220
Country	:	US
Telephone Number	:	678-782-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2086 JODECO RD
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30253-5220
Country	:	US
Telephone Number	:	678-782-5700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2015
Last Update Date	:	02/03/2016

Similar Medicare Providers

1619227576 — ICEESHO BETHEL RRT
Practice Location Address:

2086 JODECO RD # 1674
MCDONOUGH, GA
30253-5220

Practice Phone: 678-763-9797
Practice Fax:

1932869237 — DEPENDABLE SCREENING SOLUTIONS LLC
Practice Location Address:

2086 JODECO RD
MCDONOUGH, GA
30253-5220

Practice Phone: 800-622-9896
Practice Fax: 678-550-7711

1235886912 — LANDRIA ANDERSON
Practice Location Address:

2086 JODECO RD # 1075
MCDONOUGH, GA
30253-5220

Practice Phone: 770-695-9817
Practice Fax:

1437886199 — MRS. TORIE LAVERNE MCMILLIAN MSN,APRN,A-GNP-C
Practice Location Address:

2086 JODECO RD STE 1398
MCDONOUGH, GA
30253-5220

Practice Phone: 770-501-6977
Practice Fax: 770-268-6648

1376243378 — VALRIE MCDOWELL GUNN
Practice Location Address:

2086 JODECO RD # 1261
MCDONOUGH, GA
30253-5220

Practice Phone: 404-326-7680
Practice Fax:

1841970571 — SEAN PARKER SA-C
Practice Location Address:

2086 JODECO RD # 1251
MCDONOUGH, GA
30253-5220

Practice Phone: 980-254-2256
Practice Fax:

Directions to “ ANGELA SMITH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.