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Contact Information

JERRY J SMAHA, MD
2140 RIVERSIDE DR
MACON, GA31204
 Phone: 478-953-0024
 Fax: 478-953-0675
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JERRY J SMAHA · (Male)

NPI Number 1902882657
Status Active
Credentials MD
Entity Individual
Enumeration date 12/15/2005
Last updated 05/23/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 017087
  • GA License # 17087
  • GA Medicaid 000093728K
  • GA Medicaid 000093728Z
  • GA Other P00144376 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
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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