Individual
SUSAN BIRD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
8954 HOSPITAL DR, DOUGLASVILLE, GA 30134-2272
(470) 956-8260
Mailing address
400 TOWER RD NE STE 200, MARIETTA, GA 30060-9412
(470) 956-8260
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN284480
GA
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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