Individual
NIQUISHEILA TAKIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
390 RIPPLING BROOK TRCE, PALMETTO, GA 30268-1828
(678) 365-7278
(888) 505-3765
Mailing address
390 RIPPLING BROOK TRCE, PALMETTO, GA 30268-1828
(678) 365-7278
(888) 505-3765
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009853
GA
Other
Enumeration date
08/08/2017
Last updated
07/21/2022
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