Individual
MRS. ELIZZIEBETH C SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
2720 LOGANVILLE HWY, LOGANVILLE, GA 30052-7715
(770) 277-5996
Mailing address
3035 SIERRA RIDGE CT, LOGANVILLE, GA 30052-8603
(404) 518-3838
(770) 483-7285
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN183843
GA
Other
Enumeration date
09/02/2012
Last updated
09/02/2012
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