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Individual
ALEXIS DEANA SMITH
Active
Individual
ALEXIS DEANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
165095
MT
2086S0120X
Pediatric Surgery Physician
Primary
79022
GA
2086S0120X
Pediatric Surgery Physician
MD15118
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
06/05/2008
Last updated
11/12/2025
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