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Individual

KESHA SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2310 PARKLAKE DR NE, ATLANTA, GA 30345-2913
(770) 294-0437
Mailing address
PO BOX 1452, LITHONIA, GA 30058-1000
(770) 881-3557

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
GA

Other

Enumeration date
12/29/2022
Last updated
12/29/2022
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