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Organization
GOLDEN TRIANGLE GERIATRIC COLLABORATIVE, LLC
Active
Organization
GOLDEN TRIANGLE GERIATRIC COLLABORATIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ATKINSON SMITH FNP (MANAGING PARTNER)
(662) 320-4008
Entity
Organization
Contact information
Practice address
100 WILBURN WAY, STARKVILLE, MS 39759-3692
(662) 320-4008
(662) 323-6007
Mailing address
100 WILBURN WAY, STARKVILLE, MS 39759-3692
(662) 320-4008
(662) 323-6007
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
R850904
MS
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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