Individual
MRS. KATHLEEN MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30045-8444
(770) 339-5000
(770) 822-1698
Mailing address
6655 RIVER CREST PT, SUWANEE, GA 30024-4220
(770) 781-8991
(770) 781-5705
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN126437
GA
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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