Individual
DR. CAROLYN RUTH SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1810 WHITE CIR, SUITE 105, MARIETTA, GA 30066-5835
(678) 797-6820
(770) 424-8787
Mailing address
1810 WHITE CIR, SUITE 105, MARIETTA, GA 30066-5835
(678) 797-6820
(770) 424-8787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
74101
GA
207Q00000X
Family Medicine Physician
TL4519
CO
Other
Enumeration date
07/02/2012
Last updated
01/04/2016
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