Organization
GOLDEN TRIANGLE GERIATRIC COLLABORATIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ATKINSON SMITH FNP (MANAGING PARTNER)
(662) 320-4008
Entity
Organization
Contact information
Practice address
100 WILBURN WAY, STARKVILLE, MS 39759-3692
(662) 320-4008
(662) 323-6007
Mailing address
100 WILBURN WAY, STARKVILLE, MS 39759-3692
(662) 320-4008
(662) 323-6007
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
R850904
MS
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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