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Individual

MRS. RACHEL STALLINGS SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP C

Contact information

Practice address
545 VENTURE CT, MONTICELLO, GA 31064-7788
(706) 468-7002
(877) 870-3481
Mailing address
101 REGENCY PARK DR, SUITE 130, MCDONOUGH, GA 30253
(770) 957-3935
(770) 954-0573

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F0605178
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003214562A
GA
01
14247677
CAQH
Enumeration date
12/12/2006
Last updated
05/16/2019
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