Individual
CARMEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4913 FLOWER SPOUT DR, BUFORD, GA 30519
(678) 274-7185
Mailing address
4913 FLOWER SPOUT DR, BUFORD, GA 30519
(678) 274-7185
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN094426
GA
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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