Individual
SHANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 228-7231
(614) 464-2281
Mailing address
1331 N ELM ST STE 200, GREENSBORO, NC 27401-6304
(336) 274-9617
(336) 482-2177
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35123663
OH
Other
Enumeration date
10/15/2008
Last updated
03/18/2020
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