Organization
EAST GEORGIA MEDICAL ASSOC. P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMORY P SMITH MD (OWNER)
(912) 764-7900
Entity
Organization
Contact information
Practice address
23 LESTER RD, STATESBORO, GA 30458-4700
(912) 764-7900
(912) 489-3380
Mailing address
PO BOX 526, STATESBORO, GA 30459-0526
(912) 764-7900
(912) 489-3380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00302794B
—
GA
Enumeration date
03/28/2007
Last updated
08/22/2020
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