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Individual

ROBERT WHITTHORN SMITH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5470 MARTHA BERRY HWY NE, ARMUCHEE, GA 30105-2302
(706) 235-1156
(706) 291-9391
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
040795
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000749317C
GA
05
000749317D
GA
Enumeration date
09/16/2005
Last updated
05/05/2020
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