Ivy Yvonne Smith, MD

NPI #1801991773 in Tyrone, Georgia

Provider Information

NPI Number: 1801991773
Entity Type: Individual
Name: Ivy Yvonne Smith, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 14, 2006
Last Updated: Jul 21, 2008

Practice Location

Address: 120 HANDLEY RD
Address 2: STE 410
City: Tyrone
State: Georgia
ZIP Code: 30290-1625
Phone: (770) 964-5810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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