Individual
DR. JACQUELINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
915 GORDON AVE, THOMASVILLE, GA 31792-6614
(229) 228-2000
Mailing address
920 CAIRO RD, THOMASVILLE, GA 31792-4255
(229) 228-8800
(229) 228-8892
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
056923
GA
Other
Enumeration date
05/26/2006
Last updated
05/08/2008
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