Individual
SUNCERERAE NATEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFA
Contact information
Practice address
512 WYNFIELD TRCE, NORCROSS, GA 30092-4554
(770) 559-0721
(770) 559-0639
Mailing address
PO BOX 768138, ROSWELL, GA 30076-8138
(770) 559-0721
(770) 559-0639
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
115523
GA
Other
Enumeration date
08/02/2009
Last updated
08/02/2009
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