Individual
TAWNI MARLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
135 N HILL ST, GRIFFIN, GA 30223-3326
(678) 972-0166
Mailing address
135 N HILL ST, GRIFFIN, GA 30223-3326
(678) 972-0166
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
163942
GA
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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