Individual
DR. ALICE WILDER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3430 DULUTH PARK LN, DULUTH, GA 30096-3257
(770) 232-7727
Mailing address
3430 DULUTH PARK LN, DULUTH, GA 30096-3257
(770) 232-7727
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
061520
GA
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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