Individual
MARY F. DAILEY-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1008 N PIEDMONT AVE, ROCKMART, GA 30153-2526
(770) 684-6100
(770) 684-8294
Mailing address
5610 WENDY BAGWELL PKWY, SUITE 103, HIRAM, GA 30141
(770) 943-7808
(770) 943-7805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
050472
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
662717317A
—
GA
Enumeration date
07/18/2006
Last updated
02/02/2016
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