Individual
COURTNEY SHANAE SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 HERITAGE WAY, SAVANNAH, GA 31419-9650
(912) 650-1662
Mailing address
124 HERITAGE WAY, SAVANNAH, GA 31419-9650
(912) 650-1662
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN00300037941
GA
Other
Enumeration date
07/01/2020
Last updated
07/04/2020
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