Individual
LORRAINE A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3121 GRUNDY IVES DR, SNELLVILLE, GA 30039-3610
(678) 507-4688
(678) 639-3333
Mailing address
3121 GRUNDY IVES DR, SNELLVILLE, GA 30039-3610
(678) 507-4688
(678) 639-3333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F09180144
GA
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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