Individual
CHARLES TYLER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 532-7179
Mailing address
1488 JESSE JEWELL PKWY SE STE 201, GAINESVILLE, GA 30501-3804
(770) 532-7179
(704) 446-1242
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
92957
GA
207R00000X
Internal Medicine Physician
PENDING
NC
Other
Enumeration date
03/28/2018
Last updated
09/22/2022
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