Individual
DEMETRIAS RACQUEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7 WOOD CREEK WAY SW # A, ROME, GA 30165-3989
(706) 346-9362
Mailing address
7 WOOD CREEK WAY SW # A, ROME, GA 30165-3989
(706) 346-9362
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
291600
GA
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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