Individual provider · Type 1 NPI

Justin Smith, MD

Student in an Organized Health Care Education/Training Program · Rome, GA

NPI number 1982015590 Active

Practice location

304 Shorter Ave NW Ste 201
Rome, GA 30165-4256

Call (706) 509-3358 Map

Fax (706) 292-7653

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Family Medicine Physician 207Q00000X075250 (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1982015590

Justin Smith, MD's National Provider Identifier is 1982015590, issued on May 16, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rome, GA. The record was last updated on Feb 17, 2016.