Blake Robert Smith, MD

NPI #1780927269 in Duluth, Georgia

Provider Information

NPI Number: 1780927269
Entity Type: Individual
Name: Blake Robert Smith, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Otolaryngology
Credential: MD
Enumeration Date: Apr 3, 2013
Last Updated: Jan 17, 2019

Practice Location

Address: 3650 STEVE REYNOLDS BLVD DEPT OF
City: Duluth
State: Georgia
ZIP Code: 30096-4506
Phone: (404) 365-0966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Otolaryngology	207Y00000X	Primary

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Organizations

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