Individual
S T SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
3419 OWENS PASS NW, KENNESAW, GA 30152-2583
(267) 616-3768
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
460241
GA
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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