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Individual

DR. JAMES LACEY SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1207 MARINA COVE DR, COLUMBUS, GA 31904
(901) 412-1881
Mailing address
1207 MARINA COVE DR, COLUMBUS, GA 31904-2285
(901) 412-1881

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
075543
GA
207RG0100X
Gastroenterology Physician
19469
TN

Other

Enumeration date
04/26/2006
Last updated
05/31/2018
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