Individual
MARLO P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14 HOSPITAL RD, NEWNAN, GA 30263-1201
(770) 400-5660
(770) 400-5799
Mailing address
14 HOSPITAL RD, NEWNAN, GA 30263-1201
(770) 400-5660
(770) 400-5799
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN112907
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
610657035E
—
GA
01
—
RN112907
NURSING LICENSE
GA
Enumeration date
05/24/2007
Last updated
06/05/2025
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