IndividualActive
Dianne Smith, RN
NPI 1790988657 · Administrator Registered Nurse · Fort Mcpherson, GA
Provider details
- NPI number
- 1790988657
- Entity type
- Individual
- Primary specialty
- Administrator Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN 045158 (GA)
Specialties & taxonomies
Nursing Service Providers
Practice location
1701 Hardee Ave. S W
Fort Mcpherson, GA 30330
Phone: (404) 464-0400
Fax: (404) 464-0415
Mailing address
115 Fairway Trl
Covington, GA 30014-3973
Registry dates
- Enumerated
- 2007-06-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.