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Organization
KILEE RAYELLE SMITH, DO, PC
Active
Organization
KILEE RAYELLE SMITH, DO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMARA J NICHOLSON LPN (OFFICE MANAGER)
(706) 896-4673
Entity
Organization
Contact information
Practice address
103 CHURCH ST, HIAWASSEE, GA 30546-3223
(706) 896-4673
(706) 896-3992
Mailing address
103 CHURCH ST, HIAWASSEE, GA 30546-3223
(706) 896-4673
(706) 896-3992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
63815
GA
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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