Individual
SARA C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
907 18TH ST E, SUITE 400, TIFTON, GA 31794-3643
(229) 391-3640
(229) 391-3686
Mailing address
6602 DELYNN DR, TIFTON, GA 31794-2219
(229) 391-3640
(229) 391-3686
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
029618
GA
Other
Enumeration date
04/13/2006
Last updated
07/09/2007
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