Doctor Name: | LYNNE D SMITH |
NPI Number: | 1689638124 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P.-C |
License Number: | RN60915 |
Business Practice Address: | 330 Benjamin Hill Dr Fitzgerald, GA - 317501649 |
Business Phone Number: | 2294236477 |
Business Fax Number: | 2294249416 |
Mailing Address: | 114 Hampton Ct, FITZGERALD |
State: | GA |
Postal Code: | 317508189 |
Phone Number: | 2294236477 |
Fax Number: | 2294249416 |
NPI Enumeration Date: | 04/13/2006 |
NPI Last Update Date: | 12/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN60915 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |