person
Ida Smith, NP
Family Nurse Practitioner in Fayetteville, Georgia
NPI 1336525138

Ida Smith is a Family Nurse Practitioner based in Jonesboro, GA and is specialized in Family. Ida Smith practices in Fayetteville, GA and has the professional credentials of NP. The NPI Number for Ida Smith is 1336525138 and holds a License No. RN128300 (Georgia).

The current practice location address for Ida Smith is 1260 Highway 54 W Ste 101, Fayetteville, GA and can be reached out via phone at 770-719-4620 and via fax at 770-719-4622.

Location: 1260 Highway 54 W Ste 101, Fayetteville, GA, 30236-5251
person
Provider Profile Details
NPI Number
1336525138
Provider Name
Ida Smith
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1260 Highway 54 W Ste 101, Fayetteville, GA, 30236-5251
Phone Number
770-719-4620
Fax Number
770-719-4622
Provider Enumeration Date
08/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1260 Highway 54 W Ste 101
City
State
Zip
30214-4525
Phone Number
770-719-4620
Fax Number
770-719-4622
person
Provider Business Mailing Address Details
Address
1260 Highway 54 W Ste 101
City
State
Zip
30214-4525
Phone Number
770-719-4620
Fax Number
770-719-4622
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN128300 (Georgia)
Definition
Definition to come...
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