Individual
LESLIE DEANNA SMOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
735 GLYNN STREET SOUTH, FAYETTEVILLE, GA 30214
(770) 461-4126
Mailing address
735 GLYNN STREET SOUTH, FAYETTEVILLE, GA 30214
(770) 461-4126
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
64277
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2007
Last updated
08/02/2024
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