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1104440635
COREY SMITH
AUGUSTA, GA
NPI
1104440635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 11861)
Enumeration Date
2020-06-01
Last Update Date
2020-12-18
Business Address
COREY SMITH DO
1120 15TH ST # BI5070
AUGUSTA, GA 30912-0004
Phone number: 706-721-2423
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Mailing Address
COREY SMITH DO
1120 15TH ST # BI5070
AUGUSTA, GA 30912-0004
Phone number: 706-721-2423
Copy
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