Search › Georgia › 363LF0000X
Raven Smith
NPI 1346869427 · on the registry since 2020
Practice
- Address
- 201 Morningside Dr
Sandersville, GA 31082 - Phone
- (478) 552-3210
- Fax
- (478) 553-1832
- Organisation at this address
- Washington County Board Of Health
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia