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Individual
MS. TINA CARITA SMITH
Active
Individual
MS. TINA CARITA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN063641
GA
363LF0000X
Family Nurse Practitioner
Primary
RN063641
GA
363LW0102X
Women's Health Nurse Practitioner
RN063641
GA
Other
Enumeration date
04/11/2007
Last updated
05/13/2009
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