Individual
DR. STANLEY T SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
465 N BELAIR RD STE 2B, EVANS, GA 30809-3190
(706) 774-7400
Mailing address
63 CONIFER CIR, AUGUSTA, GA 30909-4508
(706) 733-0548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
019604
GA
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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