Individual
JOHN DARRELL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 JODECO ROAD, SUITE A, MCDONOUGH, GA 30253
(770) 692-4000
(770) 474-8510
Mailing address
3333 JODECO ROAD, SUITE A, MCDONOUGH, GA 30253
(770) 692-4000
(770) 474-8510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036012
GA
207RC0000X
Cardiovascular Disease Physician
Primary
036012
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00508626B
—
GA
05
—
00508626C
—
GA
Enumeration date
06/21/2006
Last updated
02/22/2024
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