Individual
ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
223 PERSON ST STE A, FAYETTEVILLE, NC 28301-5733
(678) 517-7775
(910) 483-7116
Mailing address
35 SAVANNAH CIR, COVINGTON, GA 30016-6653
(678) 517-7775
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
149819
NC
163WH0200X
Home Health Registered Nurse
126444
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601983
—
NC
Enumeration date
05/05/2010
Last updated
09/05/2023
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