Fawn B Smith (NPI# 1679950554, PAC ID# 7012209760) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1679950554 |
| PAC ID by PECOS | 7012209760 |
| Professional Enrollment ID | I20160715002151 |
| Full Name | Fawn B Smith |
| Organization Legal Name | SOUTHERN SURGICAL PROVIDERS, P.C. |
| Address |
7120 Hodgson Memorial Dr Savannah GA 31406-2532 |
| Phone Number | 9123524490 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3274663091 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111306 | EFFINGHAM HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 7120 Hodgson Memorial Dr, Savannah, GA 31406-2532 | 9123524490 | SOUTHERN SURGICAL PROVIDERS, P.C. |
| Organization Legal Name | SOUTHERN SURGICAL PROVIDERS, P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Alexander Wynn | General Surgery | Southern Surgical Providers, P.C. | 7120 Hodgson Memorial Dr, Savannah, GA 31406-2532 |
| Street Address |
7120 HODGSON MEMORIAL DR |
| City | SAVANNAH |
| State | GA |
| Zip | 31406-2532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa D Wynn | Infectious Disease | 7120 Hodgson Memorial Dr, Savannah, GA 31406-2532 | |
| Robert Alexander Wynn | General Surgery | Southern Surgical Providers, P.C. | 7120 Hodgson Memorial Dr, Savannah, GA 31406-2532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Holick | Chiropractic | Holick Holistic Chiropratic Center | 102 Oglethorpe Professional Court, Suite 6, Savannah, GA 31406 |
| Mark E Domanski | Chiropractic | 320 E Montgomery Crossroads, Suite 30, Savannah, GA 31406 | |
| Monica R Kenney | Allergy/immunology | Coastal Allergy and Asthma PC | 1601 Fair Rd, Suite 600, Stateboro, GA 31406 |
| Colleen Holick | Chiropractic | Holick Holistic Chiropratic Center | 102 Oglethorpe Professional Court, Suite 6, Savannah, GA 31406 |
| Bruce Daniel Finkel | Allergy/immunology | Coastal Allergy and Asthma PC | 1601 Fair Rd, Suite 600, Stateboro, GA 31406 |
| Todd M Titus | Chiropractic | 7373 Hodgson Memorial Dr, Suite 6, Savannah, GA 31406-1503 | |
| Obaid Rehman | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Suite 2, Savannah, GA 31406-1523 |
| Athena J Fountain | Nurse Practitioner | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Savannah, GA 31406-1523 |
| Craig Anthony Schuring | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Suite 2, Savannah, GA 31406-1523 |
| Joshua T Bonin | Physician Assistant | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Savannah, GA 31406-1523 |
| Find all physicians in zip 31406 | |||
| City | SAVANNAH |
| Zip Code | 31406 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAVANNAH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Fawn B Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.