Individual
MISS CHANTIONA NICHELE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8285 N STERLING LAKES DR, COVINGTON, GA 30014-3762
(678) 296-3333
Mailing address
8285 N STERLING LAKES DR, COVINGTON, GA 30014-3762
(678) 296-3333
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/18/2024
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