Individual
ANNE L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 724-6100
Mailing address
1499 WALTON WAY, STE. 1400, AUGUSTA, GA 30901-2602
(706) 724-6100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2609
SC
363L00000X
Nurse Practitioner
Primary
RN082793
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003130635B
—
GA
Enumeration date
08/25/2006
Last updated
11/03/2015
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