person
Mrs. Lisa M Smith, PAC
Medical Physician Assistant in Plains, Georgia
NPI 1114916475

Lisa M Smith is a Medical Physician Assistant based in Plains, GA and is specialized in Medical. Lisa M Smith practices in Plains, GA and has the professional credentials of PAC. The NPI Number for Lisa M Smith is 1114916475 and holds a License No. 002904 (Georgia).

The current practice location address for Lisa M Smith is 107 Main St, Plains, GA and can be reached out via phone at 229-824-7757 and via fax at 229-824-3497.

Location: 107 Main St, Plains, GA, 31780-0196
person
Provider Profile Details
NPI Number
1114916475
Provider Name
Lisa M Smith
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
107 Main St, Plains, GA, 31780-0196
Phone Number
229-824-7757
Fax Number
229-824-3497
Provider Enumeration Date
10/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002904 01 GA LICENSE
institution
Provider Business Practice Location Address Details
Address
107 Main St
City
State
Zip
31780-5570
Phone Number
229-824-7757
Fax Number
229-824-3497
person
Provider Business Mailing Address Details
Address
107 Main St
City
State
Zip
31780-5570
Phone Number
229-824-7757
Fax Number
229-824-3497
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
002904 (Georgia)
Definition
Definition to come...
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