Individual
MRS. FAWN B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
459 HIGHWAY 119 S, SPRINGFIELD, GA 31329-3021
(912) 754-0382
(912) 754-0225
Mailing address
459 HIGHWAY 119 S, SPRINGFIELD, GA 31329-3021
(912) 754-0382
(912) 754-0225
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN175547
GA
Other
Enumeration date
04/30/2015
Last updated
11/26/2020
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