Individual
RACHELLE A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1217 N COLUMBIA DR, MILLEDGEVILLE, GA 31061-2391
(478) 453-7516
Mailing address
1217 N COLUMBIA DR, MILLEDGEVILLE, GA 31061-2391
(478) 453-7516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0324206
GA
363L00000X
Nurse Practitioner
112245
NE
Other
Enumeration date
07/10/2017
Last updated
09/11/2020
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