Individual
REBECCA ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
245 COUNTRY CLUB DR BLDG 200A, STOCKBRIDGE, GA 30281-7212
(770) 389-4543
Mailing address
245 COUNTRY CLUB DR BLDG 200A, STOCKBRIDGE, GA 30281-7212
(770) 389-4543
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN175958
GA
Other
Enumeration date
08/10/2021
Last updated
08/15/2023
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