Individual
SUZANNE PATRICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1293 WELLBROOK CIR NE, CONYERS, GA 30012-3873
(770) 922-2012
(770) 922-8370
Mailing address
PO BOX 116470, ATLANTA, GA 30368-6470
(770) 682-2080
(678) 579-9398
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
48824
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000900556F
—
GA
Enumeration date
03/24/2006
Last updated
05/19/2025
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