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Individual

CYNTHIA M SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1275 HIGHWAY 54 W STE 201, FAYETTEVILLE, GA 30214-4538
(770) 461-3776
(770) 461-3565
Mailing address
3330 COBB PKWY NW STE 324-201, ACWORTH, GA 30101-8320
(915) 474-7675

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50-002328
OH
363AM0700X
Medical Physician Assistant
Primary
7814
GA

Other

Enumeration date
03/25/2006
Last updated
06/29/2022
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