Individual provider · Type 1 NPI
Lisa Smart, DRIVER/OWNER
Driver · Pelham, GA
NPI number
1114678323
Active
Practice location
560 Stage Coach Rd Lot 1
Pelham, GA 31779-4072
Fax (229) 683-3748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1114678323
Lisa Smart, DRIVER/OWNER's National Provider Identifier is 1114678323, issued on Jan 10, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Pelham, GA. The record was last updated on Jan 10, 2022.