Individual
WILLIAM BENJAMIN SMISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1157 FORSYTH ST STE 200, MACON, GA 31201-7454
(478) 476-1968
Mailing address
4163 CANYON RD, MACON, GA 31210-4742
(478) 808-5388
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
77206
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
77206
GA
Other
Enumeration date
08/20/2013
Last updated
06/05/2024
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