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Individual

DR. HAMILTON ELIJAH SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
822 PAVILION CT STE A, MCDONOUGH, GA 30253-6626
(833) 797-7924
Mailing address
822 PAVILION CT STE A, MCDONOUGH, GA 30253-6626

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN322175
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN322175
GA

Other

Enumeration date
08/18/2023
Last updated
11/18/2024
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