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1134505118
TARA SMITH
DOUGLAS, GA
NPI
1134505118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN213039)
Enumeration Date
2015-08-03
Last Update Date
2015-08-03
Business Address
-- TARA SMITH FNP-C
1101 OCILLA RD
DOUGLAS, GA 31533-2207
Phone number: 912-384-1900
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Mailing Address
-- TARA SMITH FNP-C
1101 OCILLA RD P.O. BOX 1287
DOUGLAS, GA 31533-2207
Phone number: 912-384-1900
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