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MRS. TERESITA MARIA SMITH PHD, FNP-BC

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1952621674

Individual Registrant:
MRS. TERESITA MARIA SMITH PHD, FNP-BC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
626 OLD RIVER RD  SYLVANIA, GA 30467-3315 US
Tel: 912-829-5300  Fax: 912-829-5335

Contact information for business:
603 NORTHLAKE DR  KEYSVILLE, GA 30816-4316 US
Tel: 706-231-0400  Fax: 912-829-5335

Registration Information:
NPI: 1952621674
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN043558 NP

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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