Individual
JANICE MARIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 LAKEVIEW XING, STONE MOUNTAIN, GA 30088-2753
(337) 210-6456
Mailing address
1217 LAKEVIEW XING, STONE MOUNTAIN, GA 30088-2753
(337) 210-6456
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
309359
GA
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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