Individual
TIARA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7225 DANIEL DR STE D, STOCKBRIDGE, GA 30281-4169
(770) 589-2228
Mailing address
7225 DANIEL DR STE D, STOCKBRIDGE, GA 30281-4169
(770) 589-2228
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
1923979
GA
171400000X
Health & Wellness Coach
Primary
1923977
GA
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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