Individual
ROBERT SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-3324
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-3324
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
008212
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100357
BLUE SHIELD
GA
01
—
1172080
UNITED HEALTHCARE
GA
01
—
515256
US HEALTHCARE
GA
01
—
Y 19880601
PHCS
GA
Enumeration date
07/14/2006
Last updated
07/08/2007
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