Individual
MR. JESSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1061 DOWDY RD, SUITE 101, ATHENS, GA 30606-5700
(678) 350-6109
Mailing address
1061 DOWDY RD, SUITE 101, ATHENS, GA 30606-5700
(678) 350-6109
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
206927
GA
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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