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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERRY SMITH

Active Sole Proprietor

JERRY SMITH is a Assisted Living Facility healthcare provider located in DAWSONVILLE, Georgia. NPI 1538572730 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · DAWSONVILLE, GA

Registration Details

NPI Number
1538572730
Provider Type
Individual
Gender
Male
NPI Issued
Jun 4, 2014 (12.213629334285 yrs)
Last Updated
Jun 4, 2014
License
PCH005362 (GA)
Sole Proprietor
Yes

Practice Information

Address
50 TANGLEWOOD DR
DAWSONVILLE, GA, 305348140
Browse GA providers · Browse ZIP 30534
Phone
7068670106
Fax
7068643368
Primary Specialty
Assisted Living Facility
310400000X

Other Assisted Living Facility Providers in DAWSONVILLE, GA

Name Credential NPI
MISTY HENSON 1629723465
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.