Individual
GENSAH DAYE-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3073 PANTHERSVILLE RD, DECATUR, GA 30034-3828
(404) 243-2118
Mailing address
943 NANDINA LN, LOGANVILLE, GA 30052-5728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN280607
GA
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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