Individual
LISA SMITH RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2260 WRIGHTSBORO RD, AUGUSTA, GA 30904-4764
(803) 240-4957
Mailing address
143 CITADEL DR, AIKEN, SC 29803-6647
(803) 240-4957
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
78381
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
RN161736
GA
Other
Enumeration date
01/20/2007
Last updated
10/01/2007
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