Individual
MS. CARYN DELICIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2206 TARA LN, BRUNSWICK, GA 31520-2752
(912) 399-0239
Mailing address
2206 TARA LN, BRUNSWICK, GA 31520-2752
(912) 399-0239
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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