Individual
DEBRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
653 WILL ST, GRIFFIN, GA 30224-4236
(770) 228-5567
(770) 228-5567
Mailing address
750 N COMMONS DR STE 200, AURORA, IL 60504-7940
(630) 303-5380
(630) 303-5385
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADS000911
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HADS000911
STATE OF GEORGIA
GA
Enumeration date
10/14/2014
Last updated
04/09/2021
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