Individual
JANICE J. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2825 KEITH BRIDGE RD, SUITE 200, CUMMING, GA 30041-3936
(770) 886-7135
(770) 887-2566
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
034332
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00495206D
—
GA
Enumeration date
08/23/2005
Last updated
11/05/2020
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