Individual
ERMA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BURRE LN SW, ATLANTA, GA 30331-3905
(404) 696-8200
Mailing address
101 BURRE LN SW, ATLANTA, GA 30331-3905
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
DEPARTMETN OF VA
—
Enumeration date
08/23/2019
Last updated
08/23/2019
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