Individual
KATHRYN A. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
154 S LEROY ST, METTER, GA 30439-4631
(912) 685-4040
(912) 685-4041
Mailing address
215 N COLEMAN ST, SWAINSBORO, GA 30401-3530
(478) 237-6262
(478) 237-9138
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN081837
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000454088D
—
GA
Enumeration date
08/23/2006
Last updated
02/27/2012
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