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Individual

KRISTEN COLLIER SMALLWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CPS-AD

Contact information

Practice address
38 LENA LN, DALLAS, GA 30132-2896
(770) 324-8752
Mailing address
38 LENA LN, DALLAS, GA 30132-2896
(770) 324-8752

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN265260
GA
175T00000X
Peer Specialist
GA

Other

Enumeration date
09/02/2022
Last updated
02/24/2025
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