Organization
WENDY L SMITH M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDY LYNN SMITH M.D. (OWNER)
(706) 745-1305
Entity
Organization
Contact information
Practice address
130 HOSPITAL CIR, BLAIRSVILLE, GA 30512-3130
(706) 745-1305
(706) 745-8463
Mailing address
130 HOSPITAL CIR, BLAIRSVILLE, GA 30512-3130
(706) 745-1305
(706) 745-8463
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
049746
GA
231H00000X
Audiologist
AUD003556
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000913756C
—
GA
05
—
89065FT
—
NC
Enumeration date
08/06/2008
Last updated
08/06/2008
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