Provider Demographics
NPI:1174701460
Name:DR VICTORIA ANGELA MCGHEE SMITH, MD, APMC
Entity type:Organization
Organization Name:DR VICTORIA ANGELA MCGHEE SMITH, MD, APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:ANGELA MCGHEE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-496-0138
Mailing Address - Street 1:4228 WILLIAMS BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-2270
Mailing Address - Country:US
Mailing Address - Phone:504-496-0138
Mailing Address - Fax:504-484-6660
Practice Address - Street 1:4228 WILLIAMS BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2270
Practice Address - Country:US
Practice Address - Phone:504-496-0138
Practice Address - Fax:504-484-6660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA024416207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty