Individual
FARAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
300 SHIRLEY AVE, DOUGLAS, GA 31533-2332
(912) 384-7275
(912) 384-4353
Mailing address
654 CLETUS NOLAN RD, WILLACOOCHEE, GA 31650-3546
(912) 393-4517
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN136145
GA
Other
Enumeration date
01/06/2016
Last updated
05/19/2016
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