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Individual
DR. JOHN ORSON SMITH
Active
Individual
DR. JOHN ORSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
007898
GA
207R00000X
Internal Medicine Physician
Primary
ME9938
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
SOUTHCARE
FL
01
—
00000
BEECH STREET/CAPP CARE
GA
05
—
00055646A
—
GA
05
—
043511200
—
FL
01
—
37079
BCBS
FL
Enumeration date
08/25/2005
Last updated
03/13/2017
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