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Search › Georgia › 363LP0200X

Kelly Grummer-Smith, NP-C

NPI 1619310802 · on the registry since 2013

Practice

Address
39 Kent Rd Ste 5
Tifton, GA 31794
Phone
(229) 353-7337
Organisation at this address
Burton Medical Clinic Pc
Ankle And Foot Assoc, Llc
Tift Regional Health System Inc
Tift Regional Health System Inc
Tift Regional Health System Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Registry record

Primary taxonomy
363LP0200X
363LP0200X
Also registered as
163WL0100X
163WL0100X
Licence states on file
GA, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-10

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