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Individual
RODNEY LEWIS SMITH
Active
Individual
RODNEY LEWIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
018553
GA
208D00000X
General Practice Physician
Primary
018553
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000270498C
—
GA
05
—
000679764A
—
GA
01
—
0100310
UNITED HEALTHCARE
GA
01
—
010036487
RR MEDICARE
GA
01
—
10045346
AMERIGROUP
GA
01
—
336487
WELLCARE
GA
01
—
52158651
BCBS
GA
01
—
9733397
CIGNA
GA
Enumeration date
01/25/2006
Last updated
04/05/2021
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