Individual
TAYLOR RYAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 JOHN MADDOX DR NW, ROME, GA 30165-1419
(706) 235-7711
(706) 235-9944
Mailing address
103 JOHN MADDOX DR NW, ROME, GA 30165-1419
(706) 235-7711
(706) 235-9944
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
320110
LA
207N00000X
Dermatology Physician
Primary
92896
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2494660
—
LA
Enumeration date
04/12/2018
Last updated
07/29/2022
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