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1639665698
MARY LACY SMOCK
MACON, GA
NPI
1639665698
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Former Name
MARY LACY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN169989)
Enumeration Date
2018-07-02
Last Update Date
2022-03-19
Business Address
Mrs. MARY LACY SMOCK NP-C
265 SHERATON BLVD
MACON, GA 31210
Phone number: 478-746-8626
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Mailing Address
Mrs. MARY LACY SMOCK NP-C
265 SHERATON BLVD
MACON, GA 31210
Phone number: 478-746-8626
Copy
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