Nettie Pearl Smith
Technician, Attendant Care Provider in Albany, GA. Individual provider (NPI-1).
NPI number1174137822
StatusActive
Last updated in NPPESSep 1, 2020
Details
- NPI
- 1174137822
- Entity type
- Individual (NPI-1)
- Name
- Nettie Pearl Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 1, 2020
- Certification date
- Sep 1, 2020
- Last updated
- Sep 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
2919 Lonesome RdAlbany, GA 31721-5644
Phone 229-669-2115
Mailing address
2919 Lonesome RdAlbany, GA 31721-5644
Phone 229-669-2115
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