Larry E Smith


Address: 5116 Northwind Blvd, Valdosta, GA 31605-7672

Larry E Smith (NPI# 1548297195, PAC ID# 7416038070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1548297195
PAC ID by PECOS 7416038070
Professional Enrollment ID I20080707000340
Full Name Larry E Smith
Address 5116 Northwind Blvd
Valdosta
GA 31605-7672
Gender M
Medical School HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1992
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110122 SOUTH GEORGIA MEDICAL CENTER

Other Locations

Address Phone Organization
2409 N Patterson St, Valdosta, GA 31602-2512 HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA
2417 N Patterson St, Valdosta, GA 31602-2512 2292495437 HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA
2501 N Patterson St, Valdosta, GA 31602-1735 HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA
5116 Northwind Blvd, Valdosta, GA 31605-7672

Organization Information

Office Location

Street Address 5116 NORTHWIND BLVD
City VALDOSTA
State GA
Zip 31605-7672

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Name Specialty Organization Address
Trevor Lawton Davis Physician Assistant Brian C. Griner, Md, LLC 3301 N Oak St Ext, Valdosta, GA 31605
Brian D Blanton Jr. Physician Assistant Urological Clinic of Valdosta 3294 N Oak St Ext, Valdosta, GA 31605
Patrick Michael Parker Urology Urological Clinic of Valdosta 3294 N Oak St Ext, Valdosta, GA 31605
Mike S Chiang Urology Urological Clinic of Valdosta 3294 N Oak St Ext, Valdosta, GA 31605
Bradley G Ridge Physician Assistant Urological Clinic of Valdosta 3294 N Oak St Ext, Valdosta, GA 31605
Seth Courson Internal Medicine Brian C. Griner, Md, LLC 3301 N Oak St Ext, Valdosta, GA 31605
Carlos I Ortiz Optometry Georgia-florida Eye Centers, P.C. 3404 Greystone Way, Valdosta, GA 31605-1048
Michael J Magbalon Ophthalmology Georgia-florida Eye Centers, P.C. 3404 Greystone Way, Valdosta, GA 31605-1048
Susan R Gordon Clinical Social Worker Ar Psychiatric and Counseling Center 3312 N Oak St Ext, Bldg D, Valdosta, GA 31605-1066
Michele L Walker Clinical Social Worker Ar Psychiatric and Counseling Center 3312 N Oak St Ext, Bldg D, Valdosta, GA 31605-1066
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Competitor

Search similar physicians

City VALDOSTA
Zip Code 31605
Specialty INTERNAL MEDICINE
City + Specialty VALDOSTA + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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