# RODNEY LEWIS SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144290917
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 018553 | GA | — |
| 208D00000X | General Practice Physician | 018553 | GA | Yes |

## Other

- **Enumeration date:** 01/25/2006
- **Last updated:** 04/05/2021

## 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 |