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Individual

DR. GEORGE M SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
115 N SUMTER ST, SUITE 200, SUMTER, SC 29150-4968
(803) 775-8351
(803) 774-1512
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
6752
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
067527
SC
01
D055557124
MEDICARE ID
SC
Enumeration date
03/20/2006
Last updated
12/04/2018
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