Individual
CHRISTOPHER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2591 CANDLER RD, DECATUR, GA 30032-6502
(678) 209-2720
Mailing address
71 HAVEN BROOK WAY, DOUGLASVILLE, GA 30134-5918
(470) 736-2700
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN261994
GA
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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