Individual
JOSHUA POPPELL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 GLENDALE AVE, BAXLEY, GA 31513-0244
(912) 293-5322
Mailing address
PO BOX 750, BAXLEY, GA 31515-0750
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
067997
GA
Other
Enumeration date
05/10/2007
Last updated
12/04/2014
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