Individual
ROBERT S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11810 WILLS RD, SUITE 100, ALPHARETTA, GA 30009-2081
(770) 817-0920
Mailing address
11810 WILLS RD, SUITE 100, ALPHARETTA, GA 30009-2081
(678) 708-4456
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
019473
GA
207ZP0101X
Anatomic Pathology Physician
Primary
019473
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00264525E
—
GA
Enumeration date
10/23/2006
Last updated
06/26/2012
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