Individual
MRS. LAWANDA BROOKE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
955 S 1ST ST, JESUP, GA 31545-0331
(912) 427-6239
(912) 427-6295
Mailing address
408 EMPIRE SCHOOL RD, JESUP, GA 31545-2921
(912) 221-0535
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029489
GA
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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