Individual
KATHRYN O SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, ACNP-BC
Contact information
Practice address
285 BOULEVARD NE, SUITE 120, ATLANTA, GA 30312-4205
(404) 881-8020
(678) 539-3080
Mailing address
389 SILVERTHORN DR NW, MARIETTA, GA 30064-1062
(914) 522-7603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
173666
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
173666
GA
Other
Enumeration date
04/10/2009
Last updated
11/05/2012
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