Individual
MRS. LORI MICHELE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1061 HARMON AVE STE1003, WINN ARMY COMMUNITY HOSPITAL, FORT STEWART, GA 31314-5611
(912) 435-6633
Mailing address
1061 HARMON AVE STE1003, WINN ARMY COMMUNITY HOSPITAL, FORT STEWART, GA 31314-5611
(912) 435-6633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004658
GA
Other
Enumeration date
06/01/2006
Last updated
06/08/2011
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