Individual
BENJAMIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 272-6000
Mailing address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 272-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
077315
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003158924D
—
GA
Enumeration date
05/16/2014
Last updated
04/29/2021
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