Individual
KYLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1017 FAYETTEVILLE RD SE, ATLANTA, GA 30316-2932
(404) 486-9034
Mailing address
1017 FAYETTEVILLE RD SE, ATLANTA, GA 30316-2932
(404) 486-9034
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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