Healthcare Provider Details

I. General information

NPI: 1831234764
Provider Name (Legal Business Name): JMS HAND ASSOCIATES SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 05/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 W HAY ST SUITE 215
DECATUR IL
62526-6328
US

IV. Provider business mailing address

304 W HAY ST SUITE 215
DECATUR IL
62526-6328
US

V. Phone/Fax

Practice location:
  • Phone: 217-875-4263
  • Fax:
Mailing address:
  • Phone: 217-875-4263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFERY M SMITH
Title or Position: OWNER
Credential: M.D.
Phone: 217-875-4263