Individual
MARILYNN RAE SMITH-BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 716-0087
Mailing address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 716-0087
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN193197
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN-NP193197
GA
Other
Enumeration date
05/30/2017
Last updated
03/12/2026
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