| Richard Lyndon Smith Jr Md Pc | |
|
1260 Russell Pkwy Warner Robins GA 31088-5540 | |
| (478) 929-4100 | |
| (478) 329-8814 |
| Full Name | Richard Lyndon Smith Jr Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1260 Russell Pkwy, Warner Robins, Georgia |
| Authorized Official Name and Position | Katherine G Smith (OFFICE MANAGER) |
| Authorized Official Contact | 4789294100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Lyndon Smith Jr Md Pc Po Box 8309 Warner Robins GA 31095-8309 Ph: (478) 929-4100 | Richard Lyndon Smith Jr Md Pc 1260 Russell Pkwy Warner Robins GA 31088-5540 Ph: (478) 929-4100 |
| NPI Number | 1033414032 |
|---|---|
| Provider Enumeration Date | 01/21/2011 |
| Last Update Date | 01/21/2011 |
| Medicare PECOS PAC ID | 3072770288 |
|---|---|
| Medicare Enrollment ID | O20120131000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033414032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 021818 (Georgia) | Primary |
| Provider Name | Richard Lyndon Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023043130 PECOS PAC ID: 2668642349 Enrollment ID: I20110907001426 |
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