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Contact Information

ETHEL L SMITH, MD
2020 HONEY CREEK PKWY SE
CONYERS, GA30013
 Phone: 770-919-0813
 Fax: 770-929-3868
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ETHEL L SMITH · (Female)

NPI # 1104817014
Status Active
Credentials MD
Entity Individual
Enumeration date 10/31/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 31510
Hospital affiliation(s) Not Available
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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