Individual provider · Type 1 NPI

Mathew James Smith Sr., L.P.N, CPS

Licensed Practical Nurse · Richmond Hill, GA

NPI number 1902076235 Active

Practice location

9390 Ford Ave Ste 8
Richmond Hill, GA 31324-6420

Mailing address

4286 Harper Rd
Metter, GA 30439-6122

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN059437 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1902076235

Mathew James Smith Sr., L.P.N, CPS's National Provider Identifier is 1902076235, issued on Mar 3, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Richmond Hill, GA. The record was last updated on Mar 3, 2008.