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Individual

MATTHEW NESMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2000 DAN PROCTOR DR, SAINT MARYS, GA 31558-3810
(912) 576-6140
Mailing address
1497 FAIR RD 102, STATESBORO, GA 30458-0823
(912) 486-1973
(912) 681-4184

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN195470
GA

Other

Enumeration date
10/10/2014
Last updated
10/06/2015
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