Individual
NICHOLAS CRAIG SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1013 CENTRE BROOK COURT, SUITE B, COLUMBUS, GA 31904-4573
(706) 653-5501
(706) 653-5504
Mailing address
1013 CENTRE BROOK CT, SUITE B, COLUMBUS, GA 31904-4573
(706) 653-5501
(706) 653-5504
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
135000690
IL
213E00000X
Podiatrist
Primary
POD001207
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0436482793000
EMPOLYER ID
GA
Enumeration date
07/15/2009
Last updated
09/27/2012
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