Individual
DR. JONATHAN EVAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 HAZEL ST, MACON, GA 31201-6856
(478) 334-5050
Mailing address
750 HAZEL ST, MACON, GA 31201-6856
(478) 334-5050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
83819
GA
208000000X
Pediatrics Physician
83819
GA
Other
Enumeration date
06/29/2012
Last updated
09/10/2025
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