Individual
MAGGIE MALAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4611 CREEK WOOD PL, GAINESVILLE, GA 30507-8874
(770) 533-3073
Mailing address
4611 CREEK WOOD PL, GAINESVILLE, GA 30507-8874
(770) 533-3073
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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