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Contact Information

LARRY E SMITH, MD
5116 NORTHWIND BLVD
VALDOSTA, GA31605
 Phone: 294-604-3292
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LARRY E SMITH · (Male)

NPI Number 1548297195
Status Active
Credentials MD
Entity Individual
Enumeration date 06/27/2006
Last updated 05/25/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 037694
  • GA Medicaid 00793284A
Hospital affiliation(s)
  • SOUTH GEORGIA MEDICAL CENTER - (Acute Care)
    2501 NORTH PATTERSON STREET, PO BOX 1727
    VALDOSTA, GA 31603
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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