Individual
BENJAMIN PARKER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2767
(866) 321-8433
Mailing address
1199 PRINCE AVE, ATHENS, GA 30606-2767
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
077787
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003192981B
—
GA
Enumeration date
06/26/2015
Last updated
01/16/2019
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