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Individual

KATELYN MARIE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
14244 HIGHWAY 515 N UNIT 100, ELLIJAY, GA 30536-2039
(706) 698-5433
Mailing address
696 LUDLOW LN, LAWRENCEVILLE, GA 30044-5504

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
04/16/2026
Last updated
04/16/2026
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