Individual
SHERRY BYNUM SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
608 PINE LN, LAWRENCEVILLE, GA 30043-4034
(269) 744-2980
Mailing address
608 PINE LN, LAWRENCEVILLE, GA 30043-4034
(269) 744-2980
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN268938
GA
163WH0200X
Home Health Registered Nurse
Primary
RN268938
GA
Other
Enumeration date
05/19/2019
Last updated
05/19/2019
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