Individual
LINDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1113 E OGLETHORPE HWY, HINESVILLE, GA 31313-1200
(912) 876-2173
Mailing address
150 SCRANTON CONNECTOR, BRUNSWICK, GA 31525-0540
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN045710
GA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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