Individual
SALLY JEANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-6200
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
34008141
OH
2085R0202X
Diagnostic Radiology Physician
34008141
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2757477
—
OH
01
—
4218141
CGS - MEDICARE
OH
Enumeration date
05/02/2007
Last updated
04/25/2025
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