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Individual
DR. GEORGE M SMITH
Active
Individual
DR. GEORGE M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
6752
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067527
—
SC
01
—
D055557124
MEDICARE ID
SC
Enumeration date
03/20/2006
Last updated
12/04/2018
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