Smith, Jerry O

Smith, Jerry O is an individual health care provider with primary practice located at 1199 Prince Ave , Athens GA 30606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Smith, Jerry O can be contacted via phone (706) 475-7000.

Contact Information

Primary practice address
1199 Prince Ave Athens GA 30606
Phone: (706) 475-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 17885 Georgia

Profile Details

NPI number 1962456012
LBN Legal business name Smith, Jerry O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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