Individual
MRS. DANYELLE M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1755 PARKER RD SE STE A120, CONYERS, GA 30094-6665
(770) 922-5696
(770) 922-3842
Mailing address
565 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4308
(770) 995-5131
(770) 995-3482
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN194165
GA
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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