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Individual

MELANIE C SMITH

Active
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Individual

MELANIE C SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
053176
GA
207L00000X
Anesthesiology Physician
Primary
9600206
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
756303758C
GA
05
756303758D
GA
05
756303758E
GA
05
756303758F
GA
05
756303758G
GA
05
756303758H
GA
05
756303758J
GA
05
756303758K
GA
05
756303758L
GA
05
756303758M
GA
05
756303758O
GA
Enumeration date
06/07/2006
Last updated
11/06/2014
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