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1922250471
SHANE SMITH
COLUMBUS, OH
NPI
1922250471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: OH 35123663)
Enumeration Date
2008-10-15
Last Update Date
2020-03-18
Business Address
-- SHANE SMITH MD
111 S GRANT AVE
COLUMBUS, OH 43215-4701
Phone number: 614-228-7231
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Mailing Address
-- SHANE SMITH MD
1331 N ELM ST STE 200
GREENSBORO, NC 27401-6304
Phone number: 336-274-9617
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