Individual
GEORGE J SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
428 CLAYMONT CT, MADISONVILLE, LA 70447-3432
(504) 441-8732
Mailing address
428 CLAYMONT CT, MADISONVILLE, LA 70447-3432
(504) 441-8732
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD.201339
LA
207RC0000X
Cardiovascular Disease Physician
MD018929
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01526061
—
MS
05
—
1001465
—
LA
05
—
3882708
—
TN
Enumeration date
05/27/2005
Last updated
03/03/2014
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