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Lisa Smart, DRIVER/OWNER
Driver in Pelham, Georgia
NPI 1114678323

Lisa Smart is a Driver based in Pelham, GA. Lisa Smart practices in Pelham, GA and has the professional credentials of DRIVER/OWNER. The NPI Number for Lisa Smart is 1114678323 and holds a License No. (Georgia).

The current practice location address for Lisa Smart is 560 Stage Coach Rd Lot 1, Pelham, GA and can be reached out via phone at 229-319-8815 and via fax at 229-683-3748.

Location: 560 Stage Coach Rd Lot 1, Pelham, GA, 31779-4072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114678323
Provider Name
Lisa Smart
Credential
DRIVER/OWNER
Provider Entity Type
Individual
Gender
Female
Address
560 Stage Coach Rd Lot 1, Pelham, GA, 31779-4072
Phone Number
229-319-8815
Fax Number
229-683-3748
Provider Enumeration Date
01/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
560 Stage Coach Rd Lot 1
City
Pelham
State
Georgia
Zip
31779-4072
Phone Number
229-319-8815
Fax Number
229-683-3748
person
Provider Business Mailing Address Details
Address
560 Stage Coach Rd Lot 1
City
Pelham
State
Georgia
Zip
31779-4072
Phone Number
229-319-8815
Fax Number
229-683-3748
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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