Individual
ALLISON A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1404 RIVER PL STE 401, BRASELTON, GA 30517-5600
(770) 848-6190
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9143
GA
Other
Enumeration date
01/04/2019
Last updated
01/22/2021
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