Individual
TAMMY G SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2610 HWY 129 N, JEFFERSON, GA 30549
(706) 367-1010
(706) 367-1050
Mailing address
2610 HIGHWAY 129 N, JEFFERSON, GA 30549-2652
(706) 367-1010
(706) 367-1050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
038372
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000608253H
—
GA
Enumeration date
09/01/2006
Last updated
07/22/2024
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