Individual
MELISSA AVERETT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, RN
Contact information
Practice address
2858 PINE STREET, UNADILLA, GA 31091
(478) 627-3263
Mailing address
390 WILDWOOD RD, FORT VALLEY, GA 31030-2813
(478) 627-3263
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH005671
GA
163WC1500X
Community Health Registered Nurse
RN133584
GA
Other
Enumeration date
11/21/2006
Last updated
09/11/2025
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