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Individual

MS. PATRICIA THERESA GRAY-SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
2795 MAIN ST W BLDG 27, SNELLVILLE, GA 30078-3164
(770) 985-8001
(770) 985-8028
Mailing address
2795 MAIN ST W BLDG 27, SNELLVILLE, GA 30078-3164
(770) 985-8001
(770) 985-8028

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN167539
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN167539
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015829263A
GA
Enumeration date
10/12/2006
Last updated
05/23/2014
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