Individual
GEORGE JAY WALKER SMITH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 ALLEN ST, RUTLAND REGIONAL MEDICAL CENTER - PATHOLOGY LAB, RUTLAND, VT 05701-4560
(802) 747-1789
(802) 747-6525
Mailing address
160 ALLEN ST, RUTLAND REGIONAL MEDICAL CENTER - PATHOLOGY LAB, RUTLAND, VT 05701-4560
(802) 747-1789
(802) 747-6525
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
042-0009681
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048280
BLUE SHIELD VT
VT
05
—
OVN2023
—
VT
Enumeration date
01/24/2007
Last updated
04/05/2026
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