Individual
SHEILA ELOISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
8491 CEDAR CREEK RDG, RIVERDALE, GA 30274-4558
(678) 201-9543
Mailing address
8491 CEDAR CREEK RDG, RIVERDALE, GA 30274-4558
(678) 201-9543
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
GA
101YP2500X
Professional Counselor
—
GA
104100000X
Social Worker
—
GA
1041C0700X
Clinical Social Worker
—
GA
132700000X
Dietary Manager
—
GA
133NN1002X
Nutrition Education Nutritionist
—
GA
146D00000X
Personal Emergency Response Attendant
—
GA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
GA
174H00000X
Health Educator
—
GA
183700000X
Pharmacy Technician
—
GA
376J00000X
Homemaker
—
GA
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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