Individual
MRS. SHARLENE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 BLUE GRASS WAY, OXFORD, GA 30054
(678) 625-0776
(678) 625-0776
Mailing address
50 BLUE GRASS WAY, OXFORD, GA 30054
(678) 625-0776
(678) 625-0776
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
BLH-19018
GA
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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