Individual
DR. JOSEPH M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
474 BROOKS RD, BROOKS, GA 30205-2302
(765) 977-3669
Mailing address
474 BROOKS RD, BROOKS, GA 30205-2302
(765) 977-3669
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01043427
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200022790A
—
IN
Enumeration date
11/10/2006
Last updated
06/28/2021
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