Individual
ANGELA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2086 JODECO RD, MCDONOUGH, GA 30253-5220
(678) 782-5700
Mailing address
2086 JODECO RD, MCDONOUGH, GA 30253-5220
(678) 782-5700
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
03/20/2015
Last updated
02/03/2016
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