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Individual
DR. C. MICHAEL SMITH
Active
Individual
DR. C. MICHAEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C140121
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
536809851A
—
GA
01
—
ME97255
MEDICAL LICENSE
FL
Enumeration date
12/29/2006
Last updated
07/21/2022
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