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Individual
MRS. RACHEL STALLINGS SMITH
Active
Individual
MRS. RACHEL STALLINGS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F0605178
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003214562A
—
GA
01
—
14247677
CAQH
—
Enumeration date
12/12/2006
Last updated
05/16/2019
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