Individual
MRS. MARY W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HADS
Contact information
Practice address
200 GLEN EAGLE CT, SUITE 10B, CARROLLTON, GA 30117-4267
(678) 796-0060
Mailing address
200 GLEN EAGLE CT, SUITE 10B, CARROLLTON, GA 30117-4267
(678) 796-0060
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAD000940
GA
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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