Individual
MS. ELIZABETH ELLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
907 18TH ST E, SUITE 290, TIFTON, GA 31794-3643
(229) 353-6546
(229) 353-6228
Mailing address
907 18TH ST E, SUITE 150, TIFTON, GA 31794-3643
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN188644
GA
Other
Enumeration date
07/03/2013
Last updated
06/18/2015
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