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Individual
BURKELY PAYNE SMITH
Active
Individual
BURKELY PAYNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
82912
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AL
Other
Enumeration date
04/03/2019
Last updated
06/29/2026
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