Individual
RYAN KYLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5126 HOSPITAL DR NE, COVINGTON, GA 30014-2566
(800) 532-6151
Mailing address
PO BOX 5779, ATHENS, GA 30604-5779
(706) 320-0381
(706) 310-0390
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004414
GA
Other
Enumeration date
05/01/2006
Last updated
07/08/2007
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