Individual
GLORIA IRIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSCN, MN, NP-C
Contact information
Practice address
310 HOSPITAL DR STE 210, MACON, GA 31217-8026
(478) 787-6255
Mailing address
310 HOSPITAL DR STE 210, MACON, GA 31217-8026
(478) 787-6255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN281687
GA
Other
Enumeration date
12/17/2018
Last updated
10/19/2021
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