Individual
DR. BENJAMIN R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 COLLINS DR, CARTERSVILLE, GA 30120-2487
(770) 386-9390
Mailing address
17 COLLINS DR, CARTERSVILLE, GA 30120-2487
(770) 386-9390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
GA044338
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000806187D
—
GA
Enumeration date
01/08/2007
Last updated
08/20/2008
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