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Individual

MRS. JANET SMITH MAXWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1303 DANTIGNAC ST, SUITE 1200, AUGUSTA, GA 30901-2775
(706) 774-7760
(706) 774-7766
Mailing address
1303 DANTIGNAC ST, SUITE 1200, AUGUSTA, GA 30901-2775
(706) 774-7760
(706) 774-7766

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN081834
GA

Other

Enumeration date
08/10/2016
Last updated
08/10/2016
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