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Individual

GEORGE MORRIS SMITH JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-5000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01087656A
IN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
01087656A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300062313
IN
Enumeration date
04/15/2019
Last updated
11/12/2024
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