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Contact Information

TALETHA B SMITH, MD
1000 JOHNSON FERRY RD
ATLANTA, GA30342-1606
 Phone: 404-851-6323
 Fax: 404-303-3747
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for TALETHA B SMITH · (Female)

NPI Number 1609067750
Status Active
Credentials MD
Entity Individual
Enumeration date 08/05/2007
Last updated 05/06/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 077667
  • LA License # 200356
  • LA License # MD.200356
  • MS License # 21442
  • LA Medicaid 1067806
  • MS Medicaid 09432255
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL CHEROKEE - (Acute Care)
    201 HOSPITAL ROAD
    CANTON, GA 30114
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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