Individual
MR. EDMUND EARL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
13081 HIGHWAY 9 N, ALPHARETTA, GA 30004-5150
(770) 521-6690
(770) 521-6609
Mailing address
580 HOLDERNESS ST SW, ATLANTA, GA 30310-1747
(404) 788-9091
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11049
GA
Other
Enumeration date
05/01/2020
Last updated
07/23/2024
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