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Individual

JORDAN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2700 PATRICK HENRY PKWY, STOCKBRIDGE, GA 30281-9108
(770) 464-5088
Mailing address
3640 S FULTON AVE UNIT 1504, HAPEVILLE, GA 30354-1773
(706) 619-4337

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011716
GA

Other

Enumeration date
05/15/2023
Last updated
05/15/2023
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