Individual
REGINALD D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3777 CHATEAUGUAY DR, DECATUR, GA 30034-2108
(404) 288-4731
(404) 286-7399
Mailing address
3777 CHATEAUGUAY DR, DECATUR, GA 30034-2108
(404) 288-4731
(404) 286-7399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
020000
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00194873A
—
GA
Enumeration date
06/09/2006
Last updated
07/08/2007
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