Provider Demographics
NPI:1093812943
Name:SMITH, YVETTE M (MD)
Entity Type:Individual
Prefix:MRS
First Name:YVETTE
Middle Name:M
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5780 PEACHTREE DUNWOODY ROAD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1513
Mailing Address - Country:US
Mailing Address - Phone:404-303-1224
Mailing Address - Fax:404-303-1325
Practice Address - Street 1:5445 MERIDIAN MARKS RD NE
Practice Address - Street 2:SUITE 350
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-4763
Practice Address - Country:US
Practice Address - Phone:404-252-5196
Practice Address - Fax:404-252-2414
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2013-08-08
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Provider Licenses
StateLicense IDTaxonomies
GA035294207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000540295FMedicaid
GA000540295EMedicaid
GA16BDSTVMedicare ID - Type UnspecifiedGYN
GA000540295FMedicaid