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1407814510
RYAN KYLE SMITH
COVINGTON, GA
NPI
1407814510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 004414)
Enumeration Date
2006-05-01
Last Update Date
2007-07-08
Business Address
-- RYAN KYLE SMITH PA-C
5126 HOSPITAL DR NE
COVINGTON, GA 30014-2566
Phone number: 800-532-6151
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Mailing Address
-- RYAN KYLE SMITH PA-C
PO BOX 5779
ATHENS, GA 30604-5779
Phone number: 706-320-0381
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