Individual
BEVERLY B. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2331 FRANKLIN RD, STATESBORO, GA 30461-7584
(912) 682-0470
Mailing address
2331 FRANKLIN RD, STATESBORO, GA 30461-7584
(912) 682-0470
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN118154
GA
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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