Individual
DR. BRENTLEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
699 CHURCH ST NE STE 235, MARIETTA, GA 30060-1132
(770) 792-6262
Mailing address
699 CHURCH ST NE STE 235, MARIETTA, GA 30060-1132
(770) 792-6262
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
86188
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2013
Last updated
08/27/2020
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