Individual
ANITA H SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
286 GIBBS ST, HOMERVILLE, GA 31634-2538
(229) 526-0150
Mailing address
286 GIBBS ST, HOMERVILLE, GA 31634-2538
(229) 526-0150
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
10086639
GA
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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