Organization
JMS HAND ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY M SMITH M.D. (OWNER)
(217) 875-4263
Entity
Organization
Contact information
Practice address
304 W HAY ST, SUITE 215, DECATUR, IL 62526-6328
(217) 875-4263
Mailing address
304 W HAY ST, SUITE 215, DECATUR, IL 62526-6328
(217) 875-4263
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05832033
B.LUE CROSS BLUE SHIELD
IL
01
—
DA2980
RAILROAD MEDICARE
IL
Enumeration date
02/20/2007
Last updated
05/20/2010
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