Individual
STEPHEN W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 PEACHTREE RD NE, SUITE 705, ATLANTA, GA 30309-1476
(404) 355-0743
(404) 355-2136
Mailing address
2001 PEACHTREE RD NE, SUITE 705, ATLANTA, GA 30309-1476
(404) 355-0743
(404) 355-2136
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
042442
GA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
042442
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00712984A
—
GA
01
—
0486290001
DME
—
Enumeration date
08/10/2005
Last updated
08/01/2008
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