Individual
MRS. THELIA ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1826 VETERANS BLVD., DUBLIN, GA 31021
(478) 272-1210
Mailing address
1826 VETERANS BLVD., DUBLIN, GA 31021
(478) 272-1210
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN100434
GA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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