Individual
TAMORIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6228 BRADLEY PARK DR, SUITE A, COLUMBUS, GA 31904-3603
(706) 322-1486
(706) 324-3419
Mailing address
6228 BRADLEY PARK DR, SUITE A, COLUMBUS, GA 31904-3603
(706) 322-1486
(706) 324-3419
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
062776
GA
207RN0300X
Nephrology Physician
27203
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I397401
MEDICARE
AL
05
—
114966
—
AL
05
—
114995
—
AL
01
—
202I393771
MEDICARE
GA
01
—
51049544
BCBS AL
AL
01
—
52324622
BCBS GA
GA
01
—
60055514
BCBS AL
GA
05
—
812706846A
—
GA
05
—
812706846B
—
GA
01
—
P00771338
RAILROAD MEDICARE
GA
Enumeration date
05/07/2007
Last updated
12/16/2022
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