Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON L SMITH, M D
Active Sole ProprietorJASON L SMITH, M D is a Procedural Dermatology healthcare provider located in ROME, Georgia. NPI 1578586400 is currently active in the NPPES registry. Verify at CMS.
Procedural Dermatology · ROME, GA
Registration Details
- NPI Number
- 1578586400
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2006 (20.066702027699 yrs)
- Last Updated
- Feb 16, 2010
- License
-
032302 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
103 JOHN MADDOX DR NWROME, GA, 301651419Browse GA providers · Browse ZIP 30165
- Phone
- 7062357711
- Fax
- 7062359944
- Primary Specialty
-
Procedural Dermatology
207NS0135X
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.