| Doctor Name: | GEORGE R SMITH |
| NPI Number: | 1134178585 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | PD310R |
| Business Practice Address: | 2848 S Union St Opelousas, LA - 705705738 |
| Business Phone Number: | 3379427567 |
| Business Fax Number: | 3379484993 |
| Mailing Address: | Po Box 159, OPELOUSAS |
| State: | LA |
| Postal Code: | 705710159 |
| Phone Number: | 3379427567 |
| Fax Number: | 3379484993 |
| NPI Enumeration Date: | 05/10/2006 |
| NPI Last Update Date: | 11/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PD310R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |