Organization
GARY L SMITH OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L SMITH OD, PC (OWNER)
(706) 232-6767
Entity
Organization
Contact information
Practice address
1013 N 5TH AVE NE STE 4, ROME, GA 30165-2664
(706) 232-6767
(706) 291-4677
Mailing address
1013 N 5TH AVE NE STE 4, ROME, GA 30165-2664
(706) 232-6767
(706) 291-4677
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000687
GA
Other
Enumeration date
09/13/2012
Last updated
10/08/2012
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