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NPI Code Detail

MEDICARE: FRANK MARTIN SMITH IV

MEDICARE:   FRANK MARTIN SMITH IV
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1891410916
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK MARTIN SMITH IV
Provider Business Mailing Address
First Line : 1909 N PENNSYLVANIA ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-1417
Country : US
Telephone Number : 404-717-5693
Fax Number :
Provider Business Practice Location Address
First Line : 1909 N PENNSYLVANIA ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-1417
Country : US
Telephone Number : 404-717-5693
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2022
Last Update Date : 10/11/2022

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Directions to “ FRANK MARTIN SMITH IV ” Practice Location

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