Individual
NATHAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 OLGETHORPE AVE BLDG 500, STE A, ATHENS, GA 30606-2179
(678) 971-4167
(833) 989-2501
Mailing address
750 NE 13TH ST, OKLAHOMA CITY, OK 73104-5010
(405) 271-4351
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
29319
OK
208VP0014X
Interventional Pain Medicine Physician
Primary
77552
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003214027K
—
GA
Enumeration date
05/31/2012
Last updated
08/19/2022
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