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1154773539
LISA SMITH
COLUMBUS, GA
NPI
1154773539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN194505)
Enumeration Date
2016-07-08
Last Update Date
2016-07-08
Business Address
Mrs. LISA SMITH NP-C
1400 BRADLEY LAKE BLVD
COLUMBUS, GA 31904-3688
Phone number: 706-256-2525
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Mailing Address
Mrs. LISA SMITH NP-C
1400 BRADLEY LAKE BLVD
COLUMBUS, GA 31904-3688
Phone number: 706-256-2525
Copy
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