Individual
JONATHAN SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
95 COLLIER RD NW STE 5015, ATLANTA, GA 30309-1721
(404) 605-6517
Mailing address
95 COLLIER RD NW STE 5015, ATLANTA, GA 30309-1721
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
10248
GA
363A00000X
Physician Assistant
Primary
10248
GA
Other
Enumeration date
12/07/2020
Last updated
02/23/2021
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