Individual
DR. KENNETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, PHD, RPH
Contact information
Practice address
4393 FIELDING LN, NORCROSS, GA 30092-1647
(706) 728-7239
Mailing address
4393 FIELDING LN, NORCROSS, GA 30092-1647
(706) 728-7239
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030758
GA
Other
Enumeration date
12/08/2018
Last updated
12/08/2018
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