| Doctor Name: | HEATHER F NESMITH |
| NPI Number: | 1255394979 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 004357 |
| Business Practice Address: | 980 South 1st Street Jesup, GA - 31545 |
| Business Phone Number: | 9124274267 |
| Business Fax Number: | 9125592638 |
| Mailing Address: | 2400 Bellevue Road, Suite 21-a DUBLIN |
| State: | GA |
| Postal Code: | 31021 |
| Phone Number: | 4782757202 |
| Fax Number: | 4782748418 |
| NPI Enumeration Date: | 04/11/2006 |
| NPI Last Update Date: | 05/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 004357 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |