Individual
CARLY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/L, COHC
Contact information
Practice address
6000 N TERMINAL PKWY, RAMP LEVEL A-27, ATLANTA, GA 30320-7400
(404) 773-7480
Mailing address
3207 PINE HEIGHTS DR NE, ATLANTA, GA 30324-2872
(270) 627-3815
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002846
GA
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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