Individual
TANIKKA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3648 CHAMBLEE TUCKER RD # R, SUITE F, ATLANTA, GA 30341-4403
(770) 493-7750
Mailing address
3648 CHAMBLEE TUCKER RD # R, SUITE F, ATLANTA, GA 30341-4403
(770) 493-7750
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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