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John Smith
NPI 1982152930 · on the registry since 2016
Practice
- Address
- 412 W Central Ave
Fitzgerald, GA 31750 - Phone
- (229) 425-4185
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- NC, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia