Individual
MS. REBECCA ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2525 SANDY PLAINS RD, MARIETTA, GA 30066-5717
(770) 578-3200
Mailing address
3100 SUSAN CT, MARIETTA, GA 30066-4308
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003183
GA
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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