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1528393253
AMANDA KELLEY SMITH
MACON, GA
NPI
1528393253
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Former Name
AMANDA KELLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN154107NP)
Enumeration Date
2009-10-14
Last Update Date
2009-10-14
Business Address
-- AMANDA KELLEY SMITH NP-C
639 HEMLOCK ST SUITE 200
MACON, GA 31201-6886
Phone number: 478-741-5945
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Mailing Address
-- AMANDA KELLEY SMITH NP-C
639 HEMLOCK ST SUITE 200
MACON, GA 31201-6886
Phone number: 478-213-7571
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