Individual
CARRIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 PROFESSIONAL DR, MACON, GA 31201-1411
(478) 741-3007
(478) 330-6288
Mailing address
550 PROFESSIONAL DR, MACON, GA 31201-1411
(478) 741-3007
(478) 330-6288
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN215333
GA
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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