Individual
STACY M. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
261 PARKWAY DR NE, ATLANTA, GA 30312-1210
(404) 265-6468
Mailing address
3501 WALDROP TRL, DECATUR, GA 30034-7463
(404) 229-2768
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002671
GA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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