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Individual

ADRA FAITH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
285 SAGE ST, TEMPLE, GA 30179-3846
(770) 562-3268
(770) 562-1414
Mailing address
285 SAGE ST, TEMPLE, GA 30179-3846
(770) 562-3268
(770) 562-1414

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019821
GA

Other

Enumeration date
02/01/2008
Last updated
02/01/2008
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