Individual
KARA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
384 HIGHLANDS DR, WINTERVILLE, GA 30683-3044
(478) 251-8772
Mailing address
105 CAPPS LANE, EATONTON, GA 31024
(478) 251-8772
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN283124
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
147230
GA
Other
Enumeration date
06/06/2021
Last updated
09/15/2023
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