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Individual
JASON WAYNE SMITH
Active
Individual
JASON WAYNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
41807
KY
2086S0102X
Surgical Critical Care Physician
Primary
41807
KY
Other
Enumeration date
05/16/2007
Last updated
10/17/2016
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