Individual
SUSAN MARIE SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
595 HURRICANE SHOALS ROAD NW, SUITE 300, LAWRENCEVILLE, GA 30046
(770) 995-0823
(770) 995-7018
Mailing address
595 HURRICANE SHOALS ROAD NW, SUITE 300, LAWRENCEVILLE, GA 30046
(770) 995-0823
(770) 995-7018
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
044337
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00823138D
—
GA
05
—
00823138E
—
GA
Enumeration date
07/28/2006
Last updated
10/19/2016
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