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1831466341
FREDERICK SMITH
COLUMBUS, GA
NPI
1831466341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-11-29
Last Update Date
2011-11-29
Business Address
-- FREDERICK SMITH
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-323-0174
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Mailing Address
-- FREDERICK SMITH
86 LEE ROAD 450
PHENIX CITY, AL 36870-8064
Phone number: 706-527-2131
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