Individual
DR. JAMES OLVIN SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 W THOMAS ST, MILLEDGEVILLE, GA 31061-2674
(478) 453-9346
(478) 453-0205
Mailing address
800 W THOMAS ST, MILLEDGEVILLE, GA 31061-2674
(478) 453-9346
(478) 453-0205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022703
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00268782B
—
GA
01
—
022703
STATE LICENSE
GA
Enumeration date
01/10/2007
Last updated
07/03/2012
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