Individual
BETHANY LASKY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AANP
Contact information
Practice address
490 BILL KENNEDY WAY SE, ATLANTA, GA 30316-6835
(404) 446-4726
(404) 446-4727
Mailing address
490 BILL KENNEDY WAY SE, ATLANTA, GA 30316-6835
(404) 446-4726
(404) 446-4727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN204273
GA
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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