Individual
DONNA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 INDUSTRIAL BLVD, DUBLIN, GA 31021-2981
(478) 275-2000
Mailing address
945 TWIN OAKS DR, DUBLIN, GA 31021-0796
(478) 456-1109
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN045160
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000550184G
—
GA
Enumeration date
05/22/2006
Last updated
05/28/2012
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