Individual
DEERIKA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4115 CIDER TRL, HAHIRA, GA 31632-3185
(678) 904-8831
Mailing address
4115 CIDER TRL, HAHIRA, GA 31632-3185
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
240288
GA
Other
Enumeration date
08/16/2025
Last updated
08/16/2025
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