Individual
AMANDA KELLEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
639 HEMLOCK ST, SUITE 200, MACON, GA 31201-6886
(478) 741-5945
(478) 743-5890
Mailing address
639 HEMLOCK ST, SUITE 200, MACON, GA 31201-6886
(478) 213-7571
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN154107NP
GA
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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