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Individual

DR. DEBRA BRADFIELD SMITH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
1121 PLAZA AVE, EASTMAN, GA 31023-6761
(478) 374-5576
(478) 374-0234
Mailing address
5728 WINDSOR WAY, EASTMAN, GA 31023-5560
(478) 374-1272
(478) 374-0234

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
10003
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00297932A
GA
05
00297932B
GA
Enumeration date
08/18/2005
Last updated
07/08/2007
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