Wendell Smith MD

NPI 1578556619 - Family Medicine - 207Q00000X

NPI Details
NPI 1578556619
Gender Male
Enumeration Date 08/24/2005
Last Updated 02/02/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
5294 ADAMS ST NE
COVINGTON GA, 30014-2628, US
Phone (770) 787-5600
Fax (770) 787-5601
Business Location
PO BOX 2069
COVINGTON GA, 30015-2069, US
Phone (770) 787-5600
Fax (770) 787-5601
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 025674
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According to our database, Dr. Wendell Smith MD NPI is 1578556619, taxonomy code is 207Q00000X and license number is 025674, license state is located at Georgia. Wendell Smith MD physically located at 5294 Adams St Ne, Covington GA, 30014-2628. NPI Number Wendell Smith MD has the Individual type.

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1578556619 NPI number is provided on an as is basis without warranty of any kind. 1578556619 is maintained by the National Plan & Provider Enumeration System. The contents of Wendell Smith MD are for informational purposes only.