Individual
DR. ANTHONY VAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1417 PENDLETON RD, AUGUSTA, GA 30904-4837
(706) 738-9824
(706) 736-4111
Mailing address
1417 PENDLETON RD, AUGUSTA, GA 30904-4837
(706) 738-9824
(706) 736-4111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
035525
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00486461B
—
GA
05
—
153050
—
SC
Enumeration date
12/28/2005
Last updated
07/10/2015
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