Individual
COURTNEY SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 756-1959
Mailing address
7203 BLACKWELL DR, OAKWOOD VILLAGE, OH 44146-5638
(216) 496-0084
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10715
GA
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
05/01/2020
Last updated
10/29/2021
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