Individual
KRISTIN RUTH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
980 JOHNSON FY RD NE STE 620, ATLANTA, GA 30342-1608
(404) 252-9751
Mailing address
980 JOHNSON FY RD NE STE 620, ATLANTA, GA 30342-1608
(404) 252-9751
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN255196
GA
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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