# SUMONA SMITH

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

## Provider details

- **NPI number:** 1750566493
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 054343 | GA | — |
| 208600000X | Surgery Physician | 21693 | MS | — |
| 2086S0129X | Vascular Surgery Physician | 054343 | GA | Yes |

## Other

- **Enumeration date:** 12/31/2007
- **Last updated:** 10/15/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 174387 | — | AL |
| 05 | — | 2359673 | — | LA |
| 01 | — | P01006900 | RAILROAD MEDICARE PTAN | MS |
| 01 | — | P01251951 | RAILROAD MEDICARE | MS |