Individual
GEORGEINE C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE ST, GROUND RHOADS, PHILADELPHIA, PA 19104-4206
(215) 615-4900
Mailing address
3400 SPRUCE ST, GROUND RHOADS, PHILADELPHIA, PA 19104-4206
(215) 615-4900
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053068
PA
Other
Enumeration date
10/25/2006
Last updated
02/14/2014
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