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1104817014
ETHEL L SMITH
CONYERS, GA
NPI
1104817014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 31510)
Enumeration Date
2005-10-31
Last Update Date
2007-07-08
Business Address
-- ETHEL L SMITH MD
2020 HONEY CREEK PKWY SE
CONYERS, GA 30013
Phone number: 770-919-0813
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Mailing Address
-- ETHEL L SMITH MD
2020 HONEY CREEK PKWY SE
CONYERS, GA 30013
Phone number: 770-919-0813
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