person
Kelly Renae Grummer-smith, NP-C
Pediatric Nurse Practitioner in Tifton, Georgia
NPI 1619310802

Kelly Renae Grummer-smith is a Pediatric Nurse Practitioner based in Tifton, GA and is specialized in Pediatrics. Kelly Renae Grummer-smith practices in Tifton, GA and has the professional credentials of NP-C. The NPI Number for Kelly Renae Grummer-smith is 1619310802 and holds a License No. RN180155 (Georgia).

The current practice location address for Kelly Renae Grummer-smith is 39 Kent Rd Ste 5, Tifton, GA and can be reached out via phone at 229-353-7337.

Location: 39 Kent Rd Ste 5, Tifton, GA, 31794-3684
person
Provider Profile Details
NPI Number
1619310802
Provider Name
Kelly Renae Grummer-smith
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
39 Kent Rd Ste 5, Tifton, GA, 31794-3684
Phone Number
229-353-7337
Fax Number
Provider Enumeration Date
04/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
39 Kent Rd Ste 5
City
State
Zip
31794-1697
Phone Number
229-353-7337
Fax Number
person
Provider Business Mailing Address Details
Address
39 Kent Rd Ste 5
City
State
Zip
31794-1697
Phone Number
229-353-7337
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Lactation Consultant
Taxonomy
License No.
545382 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
RN180155 (Georgia)
Definition
Definition to come...
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