Individual
DR. JASON BRADFORD SMAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1854 FORSYTH ST, MACON, GA 31201-1169
(478) 745-2600
(478) 742-5657
Mailing address
PO BOX 4711, MACON, GA 31208-4711
(478) 745-2600
(478) 742-5657
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000836
GA
213EP1101X
Primary Podiatric Medicine Podiatrist
000836
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
000836
GA
Other
Enumeration date
02/14/2007
Last updated
02/05/2009
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