Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 018423 | GA |
NPI | 1073512158 |
---|---|
Provider Name | David Helmar Smith |
First Address | Savannah, GA 31405-6014 |
Second Address | Savannah, GA 31405-6014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 12/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00118775D | (05) | GA |
D91016 | (02) |