Individual
CHERVONNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 321-6300
Mailing address
28 WAVERLY DR, FORT MITCHELL, AL 36856-4427
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN160486
GA
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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