Individual provider · Type 1 NPI
Dianne Terrell Smith I, RN
Administrator Registered Nurse · Fort Mcpherson, GA
NPI number
1790988657
Active
Practice location
1701 Hardee Ave. S W
Fort Mcpherson, GA 30330
Fax (404) 464-0415
Mailing address
115 Fairway Trl
Covington, GA 30014-3973
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | RN 045158 (GA) |
Administrator Registered Nurse: Definition to come...
About NPI 1790988657
Dianne Terrell Smith I, RN's National Provider Identifier is 1790988657, issued on Jun 7, 2007. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Fort Mcpherson, GA. The record was last updated on Jul 8, 2007.