Jason Henry Smith, MD | |
259 Us Highway 19 N, Camilla, GA 31730-1410 | |
(229) 336-1949 | |
(229) 336-1436 |
Full Name | Jason Henry Smith |
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Gender | Male |
Speciality | Family Medicine |
Location | 259 Us Highway 19 N, Camilla, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417997909 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 057188 (Georgia) | Primary |
Entity Name | Glutality Provider Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083256168 PECOS PAC ID: 9032549837 Enrollment ID: O20200810002292 |
Mailing Address | Practice Location Address |
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Jason Henry Smith, MD 900 Cairo Rd, Thomasville, GA 31792-4255 Ph: (229) 227-5158 | Jason Henry Smith, MD 259 Us Highway 19 N, Camilla, GA 31730-1410 Ph: (229) 336-1949 |
Lauren F Clemmons, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 259 Us Highway 19 N, Camilla, GA 31730 Phone: 229-336-1949 | |
Dr. Raymond J Otis Sr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 N Ellis St, Camilla, GA 31730 Phone: 229-336-7343 Fax: 229-336-7400 | |
Barbara J Kupka, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 48 S, Camilla, GA 31730 Phone: 229-883-4297 Fax: 229-336-8200 | |
Dr. Anozie A Ukaonu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 Us Highway 19 S, Camilla, GA 31730 Phone: 229-336-5208 Fax: 229-336-2091 | |
Dr. Stephen A Rubendall Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 259 Us Highway 19 North, Camilla, GA 31730 Phone: 229-336-1949 Fax: 229-336-1436 |