Individual
STEPHANIE SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 CENTRAL AVE, DEMOREST, GA 30535-5252
(706) 778-3000
Mailing address
1021 CENTRAL AVE, DEMOREST, GA 30535-5252
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/14/2017
Last updated
08/08/2019
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