Individual
GEORGE LEON SMITH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4166 A NEWTON DRIVE, COVINGTON, GA 30014
(770) 786-0643
(770) 787-0248
Mailing address
PO BOX 1557, COVINGTON, GA 30015-1557
(770) 786-0643
(770) 787-0248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
021816
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00247706B
—
GA
Enumeration date
02/21/2007
Last updated
12/09/2009
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