Individual
FONDA KAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1507 ROYCE DR, LOCUST GROVE, GA 30248-2478
(770) 371-6300
Mailing address
3338 PEACHTREE RD NE APT 304, ATLANTA, GA 30326-1462
(678) 933-7276
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN297292
GA
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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