Individual
SUSAN D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN CPNP
Contact information
Practice address
3645 A HOWELL FERRY RD, DULUTH, GA 30096
(678) 473-4738
(679) 473-4739
Mailing address
3645 A HOWELL FERRY RD, DULUTH, GA 30096
(678) 473-4738
(679) 473-4739
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
RN050646
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
796001599A
—
GA
Enumeration date
08/03/2006
Last updated
07/08/2007
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