Individual
JASON HENRY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
259 US HIGHWAY 19 N, CAMILLA, GA 31730-1410
(229) 336-1949
(229) 336-1436
Mailing address
900 CAIRO RD, THOMASVILLE, GA 31792-4255
(229) 227-5158
(229) 227-5187
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
057188
GA
Other
Enumeration date
06/07/2006
Last updated
06/25/2015
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