Smith, Jacob Baston

Smith, Jacob Baston is an individual health care provider with primary practice located at 705 Dixie St , Carrollton GA 30117-3818. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Smith, Jacob Baston can be contacted via phone (770) 836-9597.

Contact Information

Primary practice address
705 Dixie St Carrollton GA 30117-3818
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Georgia

Profile Details

NPI number 1922945229
LBN Legal business name Smith, Jacob Baston
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2026
Last updated May 4th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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