Individual
MRS. MICHELE WILSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.D.
Contact information
Practice address
417 W 4TH AVE, ALBANY, GA 31701-1915
(229) 446-9000
(229) 446-0404
Mailing address
417 W 4TH AVE, ALBANY, GA 31701-1915
(229) 446-9000
(229) 446-0404
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
LD000672
GA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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