Individual provider · Type 1 NPI

Nancy Wednesday Smith, STATE PROVIDER

Driver · Valdosta, GA

NPI number 1497534085 Active

Practice location

1705 Fellowship Dr
Valdosta, GA 31602-7190

Call (229) 305-1496 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X050381871 (GA)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1497534085

Nancy Wednesday Smith, STATE PROVIDER's National Provider Identifier is 1497534085, issued on Sep 25, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Valdosta, GA. The record was last updated on Sep 25, 2023.