Individual
DR. CHARLES L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 SHERATON BLVD, MACON, GA 31210-1359
(478) 745-5779
Mailing address
275 SHERATON BLVD, MACON, GA 31210-1359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11839039-1205
UT
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
96776
GA
Other
Enumeration date
03/18/2019
Last updated
10/31/2023
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