Individual
JAMES DEREE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5354 REYNOLDS ST STE 422, SAVANNAH, GA 31405-6011
(912) 355-5593
(912) 355-5404
Mailing address
602 E 72ND ST, SAVANNAH, GA 31405-4913
(912) 819-7878
(912) 819-7850
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16431
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000517932D
—
GA
Enumeration date
08/01/2006
Last updated
03/27/2018
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