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Individual

GEORGE B. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4181
(859) 258-4058
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4181
(859) 258-4058

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
22237
KY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
22237
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64222375
KY
Enumeration date
07/24/2006
Last updated
04/29/2008
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