LISA DIAN SMITH

TIFTON, GA
NPI1003241522
Former NameLISA DIAN MIXON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN176448)
Enumeration Date2013-09-04
Last Update Date2013-09-04
Business Address
Mrs. LISA DIAN SMITH FNP-C
1806 LEE AVE
TIFTON, GA 31794-3639
Phone number: 229-386-1528
Mailing Address
Mrs. LISA DIAN SMITH FNP-C
1806 LEE AVE
TIFTON, GA 31794-3639
Phone number: 229-386-1528
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