Individual
BRENDA MARTIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3536 DIXIE UNION RD, WAYCROSS, GA 31503-4227
(912) 288-5834
(912) 600-1961
Mailing address
3536 DIXIE UNION RD, WAYCROSS, GA 31503-4227
(912) 288-5834
(912) 600-1961
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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