Individual
MARIANNE JACKSON SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPHT, ATS, CRTS
Contact information
Practice address
639 IRVIN ST, CORNELIA, GA 30531-3267
(706) 778-4918
(706) 776-2502
Mailing address
PO BOX 99, CORNELIA, GA 30531-0099
(706) 778-7369
(706) 776-2502
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
150101586580537
—
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
1002338
—
Other
Enumeration date
01/20/2006
Last updated
09/11/2025
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