Individual
DORINE F SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
114 TARA BLVD, LOGANVILLE, GA 30052-4043
(404) 482-4621
(855) 450-1008
Mailing address
114 TARA BLVD, LOGANVILLE, GA 30052-4043
(404) 482-4621
(855) 450-1008
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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