Individual
MS. ELLEN GRAY SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
80 JESSE HILL JR DR NE, ATLANTA, GA 30303-2613
(404) 616-7390
Mailing address
4050 CHARLESTON PL SE, SMYRNA, GA 30080-5820
(770) 433-8040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN115453
GA
Other
Enumeration date
02/24/2006
Last updated
07/08/2007
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