ETHEL SMITH, MD
Family Medicine
Active
Individual
NPI: 1104817014
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 31510 (GA) |
Frequently Asked Questions
NPI 1104817014 is the National Provider Identifier for ETHEL SMITH, MD, a Family Medicine provider located in Conyers, GA. This NPI was enumerated on October 31, 2005.
ETHEL SMITH, MD practices at 2020 HONEY CREEK PKWY SE, Conyers, GA 30013.
Quick Facts
- NPI
- 1104817014
- Type
- Individual
- Enumerated
- Oct 31, 2005
- Last Updated
- Jul 8, 2007
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