Individual
CONNIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3207 WRIGHTSBORO RD, AUGUSTA, GA 30909-2941
(706) 737-0183
(706) 737-7915
Mailing address
3207 WRIGHTSBORO RD, AUGUSTA, GA 30909-2941
(706) 737-0183
(706) 737-7915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023229
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00238367G
—
GA
05
—
00238367H
—
GA
Enumeration date
07/12/2006
Last updated
07/09/2007
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