Individual
KRISTEN SMITHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-7125
Mailing address
1061 HARMON AVE, FT. STEWART, FORT STEWART, GA 31314-5641
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN178143
GA
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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