Individual
ROSA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3618 CAMERON DR, AUGUSTA, GA 30906-4306
(706) 294-1215
Mailing address
216 WILLIAMS ST, TROY, NC 27371-3522
(706) 294-1215
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
556630
NC
3747P1801X
Personal Care Attendant
556630
NC
376K00000X
Nurse's Aide
556630
NC
Other
Enumeration date
10/11/2025
Last updated
12/25/2025
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