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1083390041
LUCAS GRADY SMITH
AUGUSTA, GA
NPI
1083390041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 15149)
Enumeration Date
2023-06-26
Last Update Date
2023-06-26
Business Address
Dr. LUCAS GRADY SMITH MD
1120 15TH ST
AUGUSTA, GA 30912
Phone number: 770-855-8747
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Mailing Address
Dr. LUCAS GRADY SMITH MD
1399 WALTON WAY APT 225
AUGUSTA, GA 30901
Phone number: 770-855-8747
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