Individual
MRS. AVIS FELECIA JOHNSON-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
707 N JEFFERSON ST, ALBANY, GA 31701-2360
(229) 431-2030
(229) 431-2030
Mailing address
707 N JEFFERSON ST, ALBANY, GA 31701-2360
(229) 431-2030
(229) 431-2030
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R066396
GA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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