Individual
KELLI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
380 HOSPITAL DR, SUITE 410, MACON, GA 31217-8001
(478) 746-5644
(478) 745-4849
Mailing address
380 HOSPITAL DR, SUITE 410, MACON, GA 31217-8001
(478) 746-5644
(478) 745-4849
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN205548
GA
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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