Individual
DR. DAVID J SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13081 HIGHWAY 9 N, MILTON, GA 30004-5150
(770) 521-7790
(770) 521-6609
Mailing address
13081 HIGHWAY 9 N, MILTON, GA 30004-5150
(770) 521-7790
(770) 521-6609
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
033707
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000440932E
—
GA
01
—
002406
BCBS
GA
01
—
003406
BCBS
GA
01
—
10044965
AMERIGROUP
GA
01
—
10650
KAISER
GA
01
—
333416
WELLCARE OF GEORGIA
GA
Enumeration date
02/14/2006
Last updated
12/01/2010
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