Organization
SMITH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY E SMITH MD (OWNER)
(229) 261-9500
Entity
Organization
Contact information
Practice address
5116 NORTHWIND BLVD, VALDOSTA, GA 31605-7672
(229) 261-9500
(229) 261-9501
Mailing address
5116 NORTHWIND BLVD, VALDOSTA, GA 31605-7672
(229) 261-9500
(229) 261-9501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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