Individual
MS. ALEXIS NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4055 JOHNS CREEK PKWY STE A, SUWANEE, GA 30024-1299
(770) 888-5221
Mailing address
3450 BLAIR CIR NE UNIT 5107, BROOKHAVEN, GA 30319-2270
(205) 566-3896
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003172
GA
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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