Individual
MRS. ANTWENETTE CHARAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
635 STEPHENSON AVE, SAVANNAH, GA 31405-5970
(912) 352-2921
(912) 352-1038
Mailing address
11 MELODY DR, POOLER, GA 31322-3644
(912) 272-1617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN216380
GA
363LF0000X
Family Nurse Practitioner
APRN-NP216380
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP216380
GA
Other
Enumeration date
06/23/2016
Last updated
01/14/2026
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