Individual
JENNIFER M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
204 PROFESSIONAL CT SE, CALHOUN, GA 30701-7020
(706) 625-5900
(706) 625-5906
Mailing address
204 PROFESSIONAL CT SE, CALHOUN, GA 30701-7020
(706) 625-5900
(706) 625-5906
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004299
GA
Other
Enumeration date
06/30/2006
Last updated
09/30/2013
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