Individual
JAMES KENNETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9552 HIGHWAY 5, DOUGLASVILLE, GA 30135-1512
(770) 949-2570
Mailing address
3077 LAURA LN, LITHIA SPRINGS, GA 30122-2511
(770) 948-0508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH008559
GA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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