DR. DONALD LANCE SMALLWOOD D.O. NPI 1225487903

NPI Information

NPI: 1225487903
Provider Name: DR. DONALD LANCE SMALLWOOD, D.O.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1120 15TH ST
AUGUSTA, GA
ZIP 30912
Phone: (706) 721-8623
Get Directions

DR. Donald Lance Smallwood, D.O. is a diagnostic radiology radiology in Augusta, GA with 8 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Donald Lance Smallwood, D.O. NPI is 1225487903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2016

The provider's business location address is:

1120 15TH ST
AUGUSTA, GA
ZIP 30912-001
Phone: (706) 721-8623
Fax: (706) 721-1459

The NPI 1225487903 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/3/2016 and was last updated on 5/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	RTL21-0032	NORTH CAROLINA	No
2	2085R0202X	Radiology	Diagnostic Radiology	91813	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	91813	OTHER	GEORGIA	GA MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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