Most Relevant Information
Provider Data
| NPI Number: | 1003584806 |
| Provider Name: | AUSTIN DOUGLAS SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/06/2021 |
| Last Updated: | 09/06/2021 |
Provider Practice Location
3023 SHINNECOCK HILLS DR
DULUTH
GA
300972045
Practice Location Phone/Fax
| Phone: | 6787645824 |
| Fax: |
Provider Mailing Location
3023 SHINNECOCK HILLS DR
DULUTH
GA
300972045
Provider Mailing Phone/Fax
| Phone: | 6787645824 |
| Fax: |