Individual
TENISHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1071 S LAKE DR, LEXINGTON, SC 29073-3719
(866) 389-2727
Mailing address
170 MILL WAY APT B, MILLEDGEVILLE, GA 31061-0600
(478) 456-8199
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN205077
SC
Other
Enumeration date
02/01/2018
Last updated
04/09/2018
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