John Connor Smith, M.D.
Urology in Lagrange, GA. Individual provider (NPI-1).
NPI number1639114895
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1639114895
- Entity type
- Individual (NPI-1)
- Name
- John Connor Smith
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 27916 | GA | Yes |
Practice location
303 Smith StreetClark-Holder Clinic, P.A.
Lagrange, GA 30240
Phone 706-882-8831 · Fax 706-812-4091
Mailing address
303 Smith StreetClark-Holder Clinic, P.A.
Lagrange, GA 30240
Phone 706-882-8831 · Fax 706-812-4091
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