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Individual

DR. SHEILA JEANNE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
696 GRAYSON HIGHWAY, FAMILY PRACTICE CLINIC PC, LAWRENCEVILLE, GA 30045
(770) 963-0927
(770) 963-9772
Mailing address
696 GRAYSON HIGHWAY, FAMILY PRACTICE CLINIC PC, LAWRENCEVILLE, GA 30046-6372
(770) 963-0927
(770) 963-9772

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20001
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00168869A
GA
Enumeration date
08/22/2006
Last updated
08/23/2010
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