MEDICARE: CHADWICK A. SMITH, MD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	51552	GA

General Provider Information

NPI Number	:	1265641716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHADWICK A. SMITH, MD, PC

Provider Business Mailing Address
First Line	:	3063 BATTLEFIELD PKWY
Second Line	:
City	:	FT OGLETHORPE
State	:	GA
Zip	:	30742-4003
Country	:	US
Telephone Number	:	706-861-1976
Fax Number	:	706-861-1907

Provider Business Practice Location Address
First Line	:	3063 BATTLEFIELD PKWY
Second Line	:
City	:	FT OGLETHORPE
State	:	GA
Zip	:	30742-4003
Country	:	US
Telephone Number	:	706-861-1976
Fax Number	:	706-861-1907

Authorized Official
Title or Position	:	OWNER
Name	:	CHADWICK A SMITH
Credential	:	MD
Telephone Number	:	706-861-1976

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	08/22/2020

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