Individual
WANDA SMITH-HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5883
(706) 596-5889
Mailing address
464 NORTH END OAKLEY DR., APT. G108, COLUMBUS, GA 31906
(706) 464-4232
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
042791
GA
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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