Individual
DR. DON T SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 E 4TH AVE STE B, CORDELE, GA 31015-0614
(229) 391-2910
(229) 386-4770
Mailing address
PO BOX 7083, TIFTON, GA 31793-7083
(229) 391-2910
(229) 386-4770
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
042122
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
042122
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000825866D
—
GA
01
—
000882
BLUE CROSS PROVIDER #
GA
Enumeration date
08/03/2006
Last updated
04/07/2021
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