Individual
MARTINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
5187 DOWNS WAY, NORCROSS, GA 30093-2430
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
LPN087672
GA
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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