Individual
JORDAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 851-8917
Mailing address
404 WELLWOOD WAY, ROSWELL, GA 30075-5842
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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