Individual
KIMBERLY F SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5550 SILK OAK WAY, SUGAR HILL, GA 30518-7684
(770) 722-0154
Mailing address
5550 SILK OAK WAY, SUGAR HILL, GA 30518-7684
(770) 722-0154
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002605
GA
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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