Individual
MS. RAEGAN MARREE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
2210 12TH AVE, ALBANY, GA 31707-3251
(812) 340-1554
Mailing address
2210 12TH AVE, ALBANY, GA 31707-3251
(812) 340-1554
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003737
GA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
2255A2300X
IN
Other
Enumeration date
08/29/2016
Last updated
02/17/2021
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