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Individual

DR. ANDREW TAYLOR SMITH III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M

Contact information

Practice address
26 EASTERN AVE, AUGUSTA, ME 04330-5722
(207) 623-5100
(207) 621-1822
Mailing address
26 EASTERN AVE, AUGUSTA, ME 04330-5722
(207) 623-5100
(207) 621-1822

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
POD1036
ME
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD1036
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010538131
COMMERCIAL INSURANCE
ME
05
101470000
ME
Enumeration date
06/24/2005
Last updated
07/25/2013
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