Individual
HERSCHEL WELLINGTON SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, INPATIENT MEDICAL GROUP, LAWRENCEVILLE, GA 30045-7694
(678) 442-3294
(678) 442-3282
Mailing address
PO BOX 1170, LAWRENCEVILLE, GA 30046-1170
(470) 325-0159
(470) 325-0191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31129
GA
208M00000X
Hospitalist Physician
Primary
31129
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000379673K
—
GA
01
—
P00289644
RAILROAD MEDICARE
GA
Enumeration date
01/23/2007
Last updated
02/24/2021
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