Individual
DR. JAMES K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4480 N COOPER LAKE RD SE, SMYRNA, GA 30082
(470) 644-0122
(770) 333-2059
Mailing address
4480 N COOPER LAKE RD SE, SMYRNA, GA 30082-4622
(470) 644-0122
(770) 333-2059
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
033199
GA
207RR0500X
Rheumatology Physician
71995
WI
207RR0500X
Rheumatology Physician
MD21033
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151104
—
OR
Enumeration date
09/20/2006
Last updated
11/12/2019
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