Individual
DR. STEPHANIE J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 JESSE JEWELL PKWY SE STE 200, GAINESVILLE, GA 30501-3865
(770) 297-7277
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
039472
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000824271B
—
GA
05
—
00824271A
—
GA
Enumeration date
06/30/2006
Last updated
09/02/2020
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