Individual
EDWIN A SMITH
Active
Individual
EDWIN A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
034246
GA
2088P0231X
Pediatric Urology Physician
Primary
034246
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000694999B
—
GA
01
—
340014353
RAILROAD MEDICARE
GA
05
—
Q34246
—
SC
Enumeration date
08/13/2006
Last updated
03/07/2023
Update your record
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