Individual
RODNEY LEWIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 534-1986
(770) 297-5645
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
018553
GA
208D00000X
General Practice Physician
Primary
018553
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000270498C
—
GA
05
—
000679764A
—
GA
01
—
0100310
UNITED HEALTHCARE
GA
01
—
010036487
RR MEDICARE
GA
01
—
10045346
AMERIGROUP
GA
01
—
336487
WELLCARE
GA
01
—
52158651
BCBS
GA
01
—
9733397
CIGNA
GA
Enumeration date
01/25/2006
Last updated
04/05/2021
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