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Jesse Christian Smallwood, DO
Student in an Organized Health Care Education/Training Program in Columbus, Indiana
NPI 1679276273

Jesse Christian Smallwood is a Student in an Organized Health Care Education/Training Program based in Columbus, IN. Jesse Christian Smallwood practices in Columbus, IN and has the professional credentials of DO. The NPI Number for Jesse Christian Smallwood is 1679276273 and holds a License No. (Indiana).

The current practice location address for Jesse Christian Smallwood is 3640 W 700 S, Columbus, IN and can be reached out via phone at 812-344-5446. You can also correspond with Jesse Christian Smallwood through the mailing address at 3640 W 700 S, COLUMBUS, IN - 47201-9340 (mailing address contact number: 812-344-5446).

Location: 3640 W 700 S, Columbus, IN, 47201-9340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679276273
Provider Name
Jesse Christian Smallwood
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3640 W 700 S, Columbus, IN, 47201-9340
Phone Number
812-344-5446
Fax Number
Provider Enumeration Date
03/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3640 W 700 S
City
Columbus
State
Indiana
Zip
47201-9340
Phone Number
812-344-5446
Fax Number
person
Provider Business Mailing Address Details
Address
3640 W 700 S
City
Columbus
State
Indiana
Zip
47201-9340
Phone Number
812-344-5446
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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