Individual
DR. JERALYN S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
133 W ATHENS ST, WINDER, GA 30680-1786
(770) 867-6633
(770) 867-6703
Mailing address
PO BOX 459, COLBERT, GA 30628-0459
(706) 788-3234
(706) 788-2936
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
032054
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000726327F
—
GA
Enumeration date
11/09/2005
Last updated
08/06/2016
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