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Individual

MRS. CAITLYN HOPE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3755 SIXES RD STE 300, CANTON, GA 30114-7848
(706) 692-9768
(706) 692-4040
Mailing address
51 GORDON RD STE 201, JASPER, GA 30143-7104
(706) 692-9768
(706) 692-4040

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
274894
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN274894
LICENSE
Enumeration date
03/09/2021
Last updated
02/23/2023
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