Individual
JOHN CONNOR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 SMITH STREET, CLARK-HOLDER CLINIC, P.A., LAGRANGE, GA 30240
(706) 882-8831
(706) 812-4091
Mailing address
303 SMITH STREET, CLARK-HOLDER CLINIC, P.A., LAGRANGE, GA 30240
(706) 882-8831
(706) 812-4091
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
27916
GA
Other
Enumeration date
06/19/2006
Last updated
07/08/2007
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