Individual
DR. JOSE THOMAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
137 MICHELLE DR, MCDONOUGH, GA 30252-4536
(740) 260-0088
Mailing address
137 MICHELLE DR, MCDONOUGH, GA 30252-4536
(740) 260-0888
(740) 240-0516
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
2020037209
MO
208D00000X
General Practice Physician
69856
MN
208D00000X
General Practice Physician
Primary
89857
GA
Other
Enumeration date
03/30/2017
Last updated
10/21/2021
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