Individual
VEKETA HARRIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1265 HIGHWAY 54 W, SUITE 201, FAYETTEVILLE, GA 30214-4548
(678) 435-3045
(678) 435-3044
Mailing address
1265 HIGHWAY 54 W, SUITE 201, FAYETTEVILLE, GA 30214-4548
(678) 435-3045
(678) 435-3044
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2245
GA
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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