Individual
TOBY LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
73-4603 KALOKO LOA PL, KAILUA KONA, HI 96740-7616
(808) 489-4731
Mailing address
PO BOX 2091, DALTON, GA 30722-2091
(706) 271-0100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DOS 1169
HI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
DOS 1169
HI
Other
Enumeration date
05/26/2007
Last updated
06/30/2020
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