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Individual

NATHAN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2401 NEWNAN CROSSING BLVD E STE 200, NEWNAN, GA 30265-2409
(770) 400-7700
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.073201
IL
207Q00000X
Family Medicine Physician
Primary
90043
GA

Other

Enumeration date
06/20/2018
Last updated
04/15/2024
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