Individual
DR. GARY WAYNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
804 N WILEY AVE, DONALSONVILLE, GA 39845-1120
(229) 524-8994
(229) 524-1272
Mailing address
804 N WILEY AVE, DONALSONVILLE, GA 39845-1120
(229) 524-8994
(229) 524-1272
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004048
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
949836059A
—
GA
Enumeration date
07/27/2006
Last updated
07/24/2008
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