Individual
ELIZABETH ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
402 N 4TH AVE SW, ROME, GA 30165-2812
(706) 292-3045
(706) 292-3044
Mailing address
11347 BIG BEND RD, RIVERVIEW, FL 33579-7183
(813) 418-7282
(813) 677-7141
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME61157
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193317
STAYWELL
FL
01
—
2324845
AETNA
FL
01
—
23670
BLUE CROSS AND BLUE SHIEL
FL
01
—
25600
AVMED
FL
05
—
371653800
—
FL
01
—
419864003
CIGNA
FL
01
—
593618517
UNITED HEALTH CARE
FL
Enumeration date
10/11/2005
Last updated
08/22/2019
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