IndividualActive
Larry Smith, MD
NPI 1619953569 · Allergy & Immunology Physician · Athens, GA
Provider details
- NPI number
- 1619953569
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 23506 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
330 Hawthorne Ln
Athens, GA 30606-2152
Phone: (706) 613-8500
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 603725
Charlotte, NC 28260-3725
Registry dates
- Enumerated
- 2005-12-21
- Last updated
- 2023-10-18
- Certified
- 2023-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.