Individual
JOHN DIXON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
275 SHERATON BLVD STE 100, MACON, GA 31210-1359
(478) 745-5779
Mailing address
275 SHERATON BLVD, STE 100, MACON, GA 31210-1359
(478) 745-5779
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6348
GA
Other
Enumeration date
01/10/2012
Last updated
02/09/2019
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