Healthcare Provider Details

I. General information

NPI: 1861622383
Provider Name (Legal Business Name): RHONDOLYN JONES SMITH PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RHONDOLYN JONES-SMITH PHARM,D

II. Dates (important events)

Enumeration Date: 07/17/2009
Last Update Date: 04/08/2021
Certification Date: 04/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 BRIDGES DR
WINTERVILLE GA
30683-4846
US

IV. Provider business mailing address

232 BRIDGES DR
WINTERVILLE GA
30683-4846
US

V. Phone/Fax

Practice location:
  • Phone: 706-549-8520
  • Fax:
Mailing address:
  • Phone: 706-549-8520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberRPH024944
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH024944
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: