Individual
JIMSON OKON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5665 NEW NORTHSIDE DR NW, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5400
Mailing address
2106 MARSHALLS LN SE, ATLANTA, GA 30316-2825
(404) 243-7798
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125049825
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
062289
GA
Other
Enumeration date
08/18/2008
Last updated
08/24/2009
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