Individual
DIANA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3908 GRAPE AVE, AUGUSTA, GA 30909-9575
(706) 814-1949
Mailing address
3908 GRAPE AVE, AUGUSTA, GA 30909-9575
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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