Individual
MR. TIMOTHY GENE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
60 MECHANICSVILLE RD, DAHLONEGA, GA 30533-0840
(706) 867-2727
(706) 867-2739
Mailing address
60 MECHANICSVILLE RD, DAHLONEGA, GA 30533-0840
(706) 867-2727
(706) 867-2739
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
082287
GA
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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