Nancy Wednesday Smith, STATE PROVIDER

NPI #1497534085 in Valdosta, Georgia

Provider Information

NPI Number: 1497534085
Entity Type: Individual
Name: Nancy Wednesday Smith, STATE PROVIDER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Credential: STATE PROVIDER
Enumeration Date: Sep 25, 2023
Last Updated: Sep 25, 2023

Practice Location

Address: 1705 FELLOWSHIP DR
City: Valdosta
State: Georgia
ZIP Code: 31602-7190
Phone: (229) 305-1496

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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