Individual
DR. TANIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 POINTE NORTH BLVD, ALBANY, GA 31721-1513
(229) 903-4044
(229) 903-4055
Mailing address
600 POINTE NORTH BLVD, ALBANY, GA 31721-1513
(229) 903-4044
(229) 903-4055
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
051602
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000962035A
—
GA
01
—
008748
BCBS - EMC
GA
01
—
008749
BCBS - EAPC
GA
01
—
370021488
RR MCARE - EAPC
GA
01
—
370021505
RR MCARE - EMC
GA
01
—
7383379
AETNA
GA
Enumeration date
08/31/2006
Last updated
02/06/2017
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