Individual
MIANNA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
684 SIXES RD STE 105, HOLLY SPRINGS, GA 30115-8720
(678) 388-5170
Mailing address
3789 N HAMPTON DR NW, KENNESAW, GA 30144-6104
(727) 687-7277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN309143
GA
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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