# THOMAS G. SMITH, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891880316
- **Authorized official:** MRS. JUDITH A SMITH RN (OFFICE MANAGER)
- **Authorized official phone:** (440) 930-8630

## Contact information

- **Practice address:** 33398 WALKER RD, AVON LAKE, OH 44012
- **Practice address phone:** (440) 930-8630
- **Mailing address:** 33398 WALKER RD, AVON LAKE, OH 44012
- **Mailing address phone:** (440) 930-8630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | OH | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 06/16/2008
