Individual
DIANE C. SMOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC, OCN
Contact information
Practice address
225 CANDLER DR, SAVANNAH, GA 31405-6023
(912) 354-6187
Mailing address
5400 SUTLIVE ST, SAVANNAH, GA 31405-4721
(912) 354-6187
(912) 692-0701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN060923
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003149227D
—
GA
01
—
RN060923
MEDICAL LICENSE
GA
Enumeration date
09/25/2006
Last updated
07/21/2022
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