Individual
ETHEL L SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2020 HONEY CREEK PKWY SE, CONYERS, GA 30013
(770) 919-0813
(770) 929-3868
Mailing address
2020 HONEY CREEK PKWY SE, CONYERS, GA 30013
(770) 919-0813
(770) 929-3868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31510
GA
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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