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1730408386
MARY ELIZABETH SMITH
LOGANVILLE, GA
NPI
1730408386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN178265)
Enumeration Date
2010-05-21
Last Update Date
2010-05-21
Business Address
-- MARY ELIZABETH SMITH CPNP
3815 HARRISON RD
LOGANVILLE, GA 30052-2462
Phone number: 770-466-6112
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Mailing Address
-- MARY ELIZABETH SMITH CPNP
980 LAWRENCEVILLE HWY
LAWRENCEVILLE, GA 30046-4706
Phone number: 770-962-8025
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