Individual
MRS. EVA ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1948 OLD OCILLA RD, TIFTON, GA 31794-1644
(229) 391-3500
(229) 391-3498
Mailing address
1948 OLD OCILLA RD, TIFTON, GA 31794-1644
(229) 391-3500
(229) 391-3498
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN093803
GA
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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