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Individual

SHERI B SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
2311 LAKE PARK DRIVE, ALBANY, GA 31707
(229) 435-0525
(229) 434-9827
Mailing address
PO BOX 71367, ALBANY, GA 31708-1367
(229) 435-0525
(229) 434-9827

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002593
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100000301A
GA
Enumeration date
09/29/2005
Last updated
12/22/2009
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