Individual
TAMARA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 LOGANS DR SE, MILLEDGEVILLE, GA 31061-8315
(478) 696-5796
Mailing address
180 LOGANS DR SE, MILLEDGEVILLE, GA 31061-8315
(478) 696-5796
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN298342
GA
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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