Individual
KRISTA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 COLONIAL PARK DR STE 300, ROSWELL, GA 30075-3766
(678) 856-5042
Mailing address
555 COLONIAL PARK DR STE 300, ROSWELL, GA 30075-3766
(678) 856-5042
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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