Individual
RICHARD TODD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APC
Contact information
Practice address
4720 PEACHTREE INDUSTRIAL BLVD STE 4101, BERKELEY LAKE, GA 30071-5737
(404) 477-4881
Mailing address
4720 PEACHTREE INDUSTRIAL BLVD STE 4101, BERKELEY LAKE, GA 30071-5737
(404) 477-4881
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC007975
GA
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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