Individual
MR. GREGORY ALLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 BLVD NE, STE 336, ATLANTA, GA 30312
(404) 522-4888
(404) 581-0379
Mailing address
315 BLVD NE, STE 336, ATLANTA, GA 30312
(404) 522-4888
(404) 581-0379
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
034511
GA
207VG0400X
Gynecology Physician
Primary
034511
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000461128
—
GA
01
—
024912
BCBS
—
01
—
480791
AETNA
—
Enumeration date
04/13/2006
Last updated
11/05/2012
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