National Provider Identifier Database

JERRY J SMAHA, MD – NPI #1902882657
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

JERRY J SMAHA, MD
2140 RIVERSIDE DR
MACON, GA31204
Phone: 478-953-0024
Fax: 478-953-0675
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for JERRY J SMAHA

NPI Number 1902882657
Credentials MD
Entity Individual
Enumeration date 12/15/2005
Last updated 05/23/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • GA License #: 017087
  • GA License #: 17087
  • GA Medicaid: 000093728K
  • GA Medicaid: 000093728Z
  • GA Other: P00144376 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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