Individual
MRS. TASILA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN,RN
Contact information
Practice address
6770 FLORENCE DR, LITHIA SPRINGS, GA 30122-1929
(678) 670-7864
Mailing address
6770 FLORENCE DR, LITHIA SPRINGS, GA 30122-1929
(678) 670-7864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN283011
GA
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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