Individual
KATHLEEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 PEACHTREE RD NE, ATLANTA, GA 30309-1476
(478) 230-7482
Mailing address
2001 PEACHTREE RD NE, ATLANTA, GA 30309-1476
(478) 230-7482
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7490
GA
Other
Enumeration date
02/05/2015
Last updated
02/06/2015
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