CARRILEE KEEN SMITH

CORDELE, GA
NPI1265929194
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN213165)
Enumeration Date2018-04-17
Last Update Date2018-04-17
Business Address
CARRILEE KEEN SMITH
201 E 16TH AVE
CORDELE, GA 31015-1623
Phone number: 229-273-8501
Mailing Address
CARRILEE KEEN SMITH
201 E 16TH AVE
CORDELE, GA 31015-1623
Phone number: 229-273-8501