Individual
MS. TONYA NATASHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, CMA
Contact information
Practice address
341 TURKEY ROOST LANE, SHILOH, GA 31826
(706) 587-8090
Mailing address
341 TURKEY ROOST LANE, SHILOH, GA 31826
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0028871810
GA
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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