| Provider / Organization | NPI | Date Certified |
|---|---|---|
| COURTNEY SHANAE SMART | 1942827381 | 2020-07-04 |
Courtney Shanae Smart is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1942827381. Registration indicates Courtney Shanae Smart is a provider of services with a specialization in Nursing Service Related Providers, Nurses Aide (Nurses Aide, ) (Nurses Aide, Nursing Service Related Providers) (Nurses Aide, )
| Entity Type | Individual |
| Provider Name | Courtney Shanae Smart |
| Practice Office Address | 124 HERITAGE WAY SAVANNAH, GA US |
| Practice Office Telephone | 9126501662 |
| Mailing Address | 124 HERITAGE WAY SAVANNAH, GA 314199650 US |
| Business Telephone | 9126501662 |
| Code | Practice | License No State |
|---|---|---|
| 376K00000X PRIMARY | Nursing Service Related Providers Nurses Aide Nurses Aide Nurses Aide Nursing Service Related Providers Nurses Aide | CN00300037941
GA |