Individual
MRS. ANNETTE STACY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
700 CITY HALL DR, FT OGLETHORPE, GA 30742-7802
(706) 861-3387
Mailing address
4083 CLOUD SPRINGS RD, RINGGOLD, GA 30736-8411
(805) 896-9800
(851) 155-8864
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN072212
GA
Other
Enumeration date
09/11/2007
Last updated
10/26/2023
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