Individual
JUDITH A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3720 DAVINCI CT STE 400, NORCROSS, GA 30092-7625
(706) 844-4340
(706) 413-3653
Mailing address
6 SHADOWBROOK DR SE, ROME, GA 30161-8411
(706) 232-4634
(706) 331-5171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN045165 NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
544926171C
—
GA
Enumeration date
06/27/2006
Last updated
07/27/2015
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