Individual
ERIKA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
222 GORDON ST, BREMEN, GA 30110-1519
(770) 537-1234
(770) 537-1237
Mailing address
222 GORDON ST, BREMEN, GA 30110-1519
(770) 537-1234
(770) 537-1237
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7247
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861915647
GROUP NPI
GA
01
—
7247
LICENSE
GA
Enumeration date
06/10/2014
Last updated
03/20/2025
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