Individual
MRS. KELSEY HAMMOND SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
209 RIDLEY AVE STE C, LAGRANGE, GA 30240-2762
(706) 756-1066
(706) 948-8648
Mailing address
209 RIDLEY AVE STE C, LAGRANGE, GA 30240-2762
(706) 756-1066
(706) 948-8648
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN214174
GA
Other
Enumeration date
08/04/2016
Last updated
10/02/2023
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