Individual
MRS. JENNIFER W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
771 OLD NORCROSS RD, SUITES 155 AND 390, LAWRENCEVILLE, GA 30046-4386
(770) 682-6000
(770) 513-1103
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 1700, ATLANTA, GA 30339-3035
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007248
GA
Other
Enumeration date
04/01/2009
Last updated
09/01/2015
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