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Individual

JAMIE ALICE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
1574 WILLIAMSON RD, GRIFFIN, GA 30224-3931
(770) 358-5252
Mailing address
1574 WILLIAMSON RD, GRIFFIN, GA 30224-3931
(770) 358-5252

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN184094
GA

Other

Enumeration date
12/06/2012
Last updated
12/06/2012
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