Individual
BETH D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
163 E TOLLISON ST, BAXLEY, GA 31513-0120
(912) 367-9841
Mailing address
PO BOX 2070, BAXLEY, GA 31515-2070
(912) 367-9841
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
RN047845
GA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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