Individual
MR. EMORY POWERS SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
658 NORTHSIDE DRIVE EAST, SUITE B, STATESBORO, GA 30458
(912) 871-8719
(912) 587-2256
Mailing address
658 NORTHSIDE DRIVE EAST, SUITE B, STATESBORO, GA 30458
(912) 871-8719
(912) 587-2256
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
025281
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00302794B
—
GA
Enumeration date
11/28/2006
Last updated
07/16/2015
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