Individual
JESSICA LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-5409
(404) 778-5194
Mailing address
791 WYLIE ST SE, UNIT 106, ATLANTA, GA 30316-7200
(404) 291-6526
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
1455
GA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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