Individual
CHINARA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
505 ASHTON MANOR DR, LOGANVILLE, GA 30052-5329
(404) 992-5570
Mailing address
505 ASHTON MANOR DR, LOGANVILLE, GA 30052-5329
(404) 992-5570
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020015499
GA
Other
Enumeration date
10/13/2020
Last updated
03/12/2025
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