Individual
DR. GREGORY SCOTT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
21 JEFFERSON PL, SUITE 1, ATHENS, GA 30601-1761
(706) 548-0058
(706) 548-0555
Mailing address
21 JEFFERSON PL STE 1, SUITE 1, ATHENS, GA 30601-1761
(706) 548-0058
(706) 548-0555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
047532
GA
207RG0100X
Gastroenterology Physician
Primary
047532
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000817099C
—
GA
01
—
047532
STATE LICENSE NUMBER
GA
Enumeration date
09/05/2006
Last updated
02/06/2026
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