Individual
DR. GEORGIA C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1001 WEATHERSTONE PKWY, SUITE 430, WOODSTOCK, GA 30188-4495
(770) 592-0150
(770) 592-0971
Mailing address
1001 WEATHERSTONE PKWY, SUITE 430, WOODSTOCK, GA 30188-4495
(770) 592-0150
(770) 592-0971
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
1754
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00583921A
—
GA
Enumeration date
08/04/2005
Last updated
07/08/2007
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