Individual
GRETA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
124 E MAIN ST, GALATIA, IL 62935-1300
(618) 268-4083
(618) 268-4104
Mailing address
124 E MAIN ST, GALATIA, IL 62935-1300
(618) 268-4083
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012164
IL
Other
Enumeration date
11/14/2014
Last updated
02/03/2025
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