Individual
MARTINITA SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 EAGLE POINTE DR, LAWRENCEVILLE, GA 30044-2244
(404) 401-5858
Mailing address
PO BOX 466734, LAWRENCEVILLE, GA 30042-6734
(404) 401-5858
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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