Individual
RENEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2009 BURMA RD, ROSSVILLE, GA 30741-3813
(423) 991-0034
Mailing address
2009 BURMA RD, ROSSVILLE, GA 30741-3813
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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