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Organization

SOUTHWEST GEORGIA PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE A SMITH M.D. (PRESIDENT)
(229) 888-8121
Entity
Organization

Contact information

Practice address
1110 N MONROE ST, ALBANY, GA 31701-1949
(229) 888-8121
(229) 888-6374
Mailing address
1110 N MONROE ST, ALBANY, GA 31701-1949
(229) 888-8121
(229) 888-6374

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
07/20/2011
Last updated
07/20/2011
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