Individual
MILLIE ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3964 ELNORA DR, MACON, GA 31210-1825
(478) 476-4883
Mailing address
3964 ELNORA DR, MACON, GA 31210-1825
(478) 476-4883
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002725
GA
Other
Enumeration date
07/27/2013
Last updated
07/27/2013
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