Individual
PETER E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1767 ROCK QUARRY RD, STOCKBRIDGE, GA 30281-7303
(770) 474-4395
(770) 474-7861
Mailing address
1975 HIGHWAY 54 W STE 205, PEACHTREE CITY, GA 30269-4794
(678) 902-0457
(770) 415-1450
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC006676
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001537
GA
Other
Enumeration date
08/07/2015
Last updated
03/20/2023
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