Individual
HARMON ANDREW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1080 GREEN ST SW, CONYERS, GA 30012-5269
(770) 483-4951
(770) 918-9802
Mailing address
1080 GREEN ST SW, CONYERS, GA 30012-5269
(770) 483-4951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041486
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000791062G
MEDICAID
GA
01
—
52619573-004
B/C B/S OF GA
GA
01
—
P00063014
RAILROAD MEDICARE
GA
Enumeration date
09/27/2006
Last updated
07/31/2008
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