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Individual

DR. WILLIAM SEAN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 JOHNSON FERRY ROAD, ATLANTA, GA 30342
(404) 851-6323
(404) 303-3747
Mailing address
5775 GLENRIDGE DRIVE NE B525, ATLANTA, GA 30328
(678) 553-7783
(678) 553-7793

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
ME19579
SC
2085P0229X
Pediatric Radiology Physician
ME19579
SC
2085R0202X
Diagnostic Radiology Physician
Primary
042731
GA
2085R0202X
Diagnostic Radiology Physician
ME19579
SC
2085R0204X
Vascular & Interventional Radiology Physician
ME19579
SC
2085U0001X
Diagnostic Ultrasound Physician
ME19579
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1075168
FIRST HEALTH
01
1709
MEDICARE GROUP
SC
01
300073082
MEDICARE RR
01
8683
MEDICARE GROUP
SC
05
G60366
SC
Enumeration date
08/08/2006
Last updated
10/20/2015
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