Organization
THOMAS G. SMITH, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH A SMITH RN (OFFICE MANAGER)
(440) 930-8630
Entity
Organization
Contact information
Practice address
33398 WALKER RD, AVON LAKE, OH 44012
(440) 930-8630
Mailing address
33398 WALKER RD, AVON LAKE, OH 44012
(440) 930-8630
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922047562
NPI
OH
Enumeration date
10/03/2006
Last updated
06/16/2008
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